オーストラリアにおけるリスクベースの集団乳がんスクリーニングの実施に関する主要な利害関係者の見解 - "バスに乗るか,バスの下に乗るか"
Jocelyn Lippey1,2,3, Louise Keogh4, Stephanie Best5,6
1Department of Surgery, St. Vincent's Hospital, 44 Victoria Pde, Fitzroy, Melbourne, VIC, 3065, Australia. Jocelyn.lippey@unimelb.edu.au.
Archives of public health = Archives belges de sante publique
|September 2, 2025
まとめ
主要な利害関係者はリスクベースの乳がんスクリーニングを支持しているが,知識のギャップ,公平性,コスト,クライアントとのコミュニケーションを含む実施に関する懸念がある. これらの問題への対処は プログラム変更の成功に不可欠です
科学分野:
- 腫瘍学
- 公衆衛生
- 医療サービス研究
背景:
- 現在 乳がんのスクリーニングは "つのモデルで実施されています
- リスクベースのスクリーニングは,個々のリスクに合わせて実施されます.
- リスクベースのアプローチの実施の課題は評価が必要です.
研究 の 目的:
- リスクベースの乳がんスクリーニングの実施に関する主要な関係者の見解を評価する.
- 特定されたスクリーニングアプローチのための障壁とファシリテーターを特定する.
主な方法:
- オーストラリアのBreastScreenの重要な関係者とのインタビューを用いた定性研究.
- 実施研究の統合枠組み (CFIR) を指針とするインタビュー
- CFIRドメインごとに演的なコーディングとコンテンツ分析を使用して分析されたデータ.
主要な成果:
- 21人の参加者との20件のインタビューで,17の主要なテーマが示されました.
- リスクベースのスクリーニングについては 利害関係者は楽観的ですが 知識のギャップはあります
- 主な懸念は,潜在的な不公平性,コスト,クライアントコミュニケーションです.
結論:
- リスクベースのスクリーニングの利点は 興味津々です
- リスク評価の有用性,コスト,プログラムの公平性について懸念があります.
- これらの懸念の体系的な評価は,成功するために必要である.
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