拓展全科医生在社区结直肠癌筛查中的作用

Optimizing the role of general practitioners in organized colorectal cancer screening

我国诸多城市已陆续开展有组织的结直肠癌筛查项目,全科医生作为联结适宜筛查人群和筛查服务提供方、组织方的纽带,在其中发挥重要作用.目前,筛查项目参与度和依从性偏低,为提高筛查效率和成本效益,现围绕全科医生在结直肠癌筛查的4个阶段中可以发挥的作用,结合最新相关文献展开综述.

Organized,population-based colorectal cancer （CRC） screening has been implemented in various cities of China in order to control its rising threat.General practitioners （GPs） play a crucial role as central coordinators among potential screening participants,service providers and program organizers.However,rates of participation and adherence to CRC screening program remain low,whilst its program performance indicators are increasingly receiving more attention.In this review,we summarize the latest literature focusing on strategies to optimize the role of GPs in different stages of organized CRC screening programs,which could substantially enhance screening efficiency and cost-effectiveness of population-based screening programs.