| Summary: | 碩士 === 中國醫藥大學 === 醫務管理學系碩士班 === 99 === Objective: Cancer prevention includes three strategies: prevention, screening and treatment. In order to lower the incidence of colorectal cancer and to improve early detection of disease, Bureau of Health Promotion, Department of Health, R.O.C. (Taiwan) has promoted free fecal occult blood screening in the communities and enhanced propagation of screening programs in general health care institutes. Through adequate cancer screening and removal of polyp, the incidence and mortality of colorectal cancer could be reduced. This study explored the important factors that affect fecal occult blood screening and its medical care use.
Methods: A structural questionnaire was designed on the basis of the behavioral model for health service utilization proposed by Andersen RM. This questionnaire was used during hospitalization and outpatient visit in a medical center in Mid-Taiwan. This study used a cross-sectional survey design with the purposive sampling method to collect cases. SPSS window version 18.0 was used for statistic analysis. Factor analysis, descriptive statistic, chi-square test and logistic regression were performed to predict the major affecting factors of colon cancer screening.
Result: This study collected data from 500 subjects who were asked to participate in the survey. 68.8% (N=344) of participants agreed to complete the questionnaire. This study revealed three important factors: (1) People who think that colorectal cancer screening was not a time-consuming test, preferred to undergo screening. (2) People who had received oral cancer screening, tended to accept colorectal cancer screening (p<0.05); (3) People who were acquainted with the information of cancer screening were likely to receive colorectal cancer screening. These three factors were statistically significant (p value <0.05) in this study.
Conclusions: Community preventive and screening services improve early detection of disease and treatment, hence reduce medical costs in cancer care. In this study, individuals who had received oral cancer screening previously showed preference for screening for colorectal cancer.
This study suggested that it is more efficient to provide all cancer screening to subjects who meet the criteria. People are willing to receive screening if they are more acquainted with the information of cancer screening. Thus, government health units should put more efforts into distribution of information regarding cancer screening.
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