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Review: organisational change and patient involvement may increase the use of prevention cancer screening services

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 QUESTION: What approaches are most effective in increasing use of adult immunisation and cancer screening services?

Data sources

Studies were identified by searching (through February 1999) the Cochrane Effective Practice and Organization of Care Special Register (which includes searches of MEDLINE [from 1966], EMBASE/Excerpta Medica [from 1980], HealthSTAR [from 1975], and the Cochrane Controlled Trials Register [from 1996]), previous systematic reviews, and the Health Care Quality Improvement Projects database.

Study selection

Controlled clinical trials that assessed interventions to increase the use of immunisations for influenza and pneumococcal pneumonia, and use of screening for colon, breast, and cervical cancer in adults were selected for review.

Data extraction

Data were extracted on specific intervention components, study characteristics, …

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  • Sources of funding: Centers for Medicare & Medicaid Services; Scottish Executive Health Department; National Health Services Research and Development Programme.

  • For correspondence: Dr P G Shekelle, RAND, Santa Monica, CA, USA. Email shekelle{at}