| How to enhance physician and public acceptance and utilisation of colon cancer screening recommendations. | |
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MedLine Citation:
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PMID: 20833353 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Colorectal Cancer (CRC) screening delivery is a multidisciplinary undertaking, aiming at reducing mortality from and incidence of CRC without adversely affecting the health status of participants. The adoption of a public health perspective involves commitment to ensure equity of access and sustainability of the program over time. We reviewed available evidence concerning predictors of CRC screening uptake and the impact of interventions to improve adoption of screening using conceptual frameworks defining the role of determinants of preventive behaviours and the reach and target of interventions. The results of this review indicate that policy measures aimed at supporting screening delivery, as well as organisational changes, influencing the operational features of preventive services, need to be implemented, in order to allow individual's motivation to be eventually realised. To ensure coverage and equity of access and to maximise the impact of the intervention, policies aimed at implementing organised programs should be adopted, ensuring that participation in screening and any follow-up assessment should not be limited by financial barriers. Participants and providers beliefs may determine the response to different screening modalities. To achieve the desired health impact, an active follow-up of people with screening abnormalities should be implemented, supported by the introduction of infrastructural changes and multidisciplinary team work, which can ensure sustainability over time of effective interventions. Continuous monitoring as well as the adoption of plans to evaluate for program effectiveness represent crucial steps in the implementation of a successful program. |
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Authors:
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Carlo Senore; Nea Malila; Silvia Minozzi; Paola Armaroli |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Best practice & research. Clinical gastroenterology Volume: 24 ISSN: 1532-1916 ISO Abbreviation: Best Pract Res Clin Gastroenterol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-09-13 Completed Date: 2010-12-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101120605 Medline TA: Best Pract Res Clin Gastroenterol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 509-20 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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AOU S Giovanni Battista - CPO Piemonte, SCDO Epidemiologia dei Tumori 2, Via S Francesco da Paola 31, 10123 Torino, Italy. carlo.senore@cpo.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Colorectal Neoplasms
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diagnosis*,
prevention & control* Early Detection of Cancer / utilization* Education, Medical Female Health Knowledge, Attitudes, Practice Health Policy Health Promotion / ethics, organization & administration Health Services Accessibility / ethics, organization & administration Humans Male Mass Screening / ethics, organization & administration Middle Aged Patient Acceptance of Health Care / ethnology Physicians Practice Guidelines as Topic Practice Management, Medical / organization & administration |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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