Strategies to Improve Secondary Testing Rates Among Examinees with Abnormal Results in Occupational Cancer Screening: Application of Encouragement/re-encouragement System

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  • 職域がん検診の精検受診率向上への取り組み　－コール・リコールシステムによる精検受診勧奨－
  • ショクイキ ガン ケンシン ノ セイケンジュシンリツ コウジョウ エ ノ トリクミ : コール ・ リコール システム ニ ヨル セイケンジュシン カンショウ

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Objective: In order to improve occupational cancer screening secondary testing rates, we devised a system in which encouragement is first given by letter and re-encouragement by telephone. We examined the effectiveness of this system as a means of encouraging people to undergo secondary testing.<br>Methods: Among persons undergoing occupational cancer screening in fiscal 2013, those recommended to undergo secondary testing but who appeared not to have undergone it after 3 months were sent an encouragement letter with an enclosed postcard. Recipients were asked to state their secondary testing status on the postcard and return it to us. If there was no response after a month, we considered that the person had not undergone secondary testing and contacted them by phone for re-encouragement. If the person had already undergone the testing or had an appointment for it, we asked for the name of the medical institution in order to gain a more accurate understanding of secondary testing results by making inquiries to the institution. <br>Results: As compared to fiscal 2012, in fiscal 2013, there was an increase in the secondary testing rate for colorectal cancer of 8.6% followed by 5.3% for gastric cancer, 5.1% for lung cancer (thoracic region), 4.0% for uterine cancer and 0.6% for breast cancer. Differences were significant for gastric cancer and colorectal cancer (p<0.05).<br>Conclusion: The findings for encouragement to have secondary testing using the encouragement/re-encouragement system suggested that having direct encouragement by phone as well as encouragement by letter further raised the effectiveness of encouragement. The system’s process also allowed us to accurately calculate rates for undergoing secondary testing through inquiries to medical institutions for those who responded that they had undergone testing but whose testing status was unknown. In order to further increase occupational screening secondary testing rates in the future, it will be important to create an environment that makes it easier to undergo secondary testing through coordination with companies and medical institutions, in addition to targeting the examinees themselves.

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