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目的:探索以社区卫生服务为基础建立乳腺癌二级预防体制。方法:比较武汉市2008年和2009年乳腺癌筛查的结果,评价社区卫生服务中心在乳腺癌筛查工作中的作用。结果:2008年完成率90.90%,复查率为87.89%,乳腺癌检出率为79.57/10万;2009年完成率为100.54%,复查率为95.36%,乳腺癌检出率为82.51/10万。与2008年相比,2009年有更多的服务人员、企业管理者、失业或无业者以及职业不确定者、初中文化水平以下的妇女参与乳腺癌筛查。结论:社区卫生服务中心参与乳腺癌筛查提高了人群顺应性和医疗资源利用率,以社区卫生服务中心为基础建立乳腺癌二级预防体制值得尝试。
Objective: To explore the establishment of secondary prevention system of breast cancer based on community health services. Methods: The results of breast cancer screening in 2008 and 2009 in Wuhan were compared to evaluate the role of community health centers in breast cancer screening. Results: In 2008, the completion rate was 90.90%, the review rate was 87.89%, the detection rate of breast cancer was 79.57 / 100000; the completion rate in 2009 was 100.54%, the review rate was 95.36%, the detection rate of breast cancer was 82.51 / 100000 . Compared with 2008, there were more service personnel, business managers, unemployed or unemployed people and undetermined occupations in 2009, and women below the junior middle school level participated in breast cancer screening. Conclusion: Participation of community health service centers in breast cancer screening improves crowd compliance and utilization rate of medical resources. It is worth trying to establish secondary prevention system of breast cancer based on community health service center.