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改善可能患有膀和癌的患者的诊断过程:一项混合方法研究,以确定潜在的错过诊断机会
Yin Zhou1, Hardeep Singh2, Willie Hamilton3
1Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
概括
诊断膀和癌的延迟很常见,特别是在患有尿路感染 (UTI) 的老年女性中. 解决诊断障碍可以提高癌症检测率.
科学领域:
- 在瘤学瘤学.
- 主要护理医学 医疗保健
- 诊断途径 诊断途径
背景情况:
- 膀和癌的诊断延迟是一个重大的临床挑战.
- 低于最佳的护理模式和错过的诊断机会 (MDO) 导致这些延迟.
研究的目的:
- 在诊断尿路癌症时识别非最佳护理模式.
- 在初级保健中探索潜在的错过诊断机会 (MDO) 的贡献者.
主要方法:
- 一项前性,混合方法的研究在九个英国的一般实践中进行.
- 审查了患者记录,并进行了半结构面试,以分析诊断过程和患者的经验.
主要成果:
- 在940名参与者中,3.5%被诊断为癌症;48.5%被诊断为尿路感染 (UTI).
- 患有复发性尿路感染的患者面临转诊延误,只有三分之一的患者符合国家卫生和护理卓越研究所 (NICE) 的指南.
- 定性数据揭示了诊断障碍,包括检查不足和沟通不良.
结论:
- 患有尿路感染的老年女性可能会增加MDO癌症的风险.
- 改善初步诊断评估和后续护理对于提高癌症诊断质量至关重要.
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