通过非初级保健服务推广乳房扫描查
Johanna E Poterala1, Edward Stanley2, Anand K Narayan3
1School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
许多不了解乳房扫描查的女性会去急诊或急诊室,或者住院. 这突显了在初级保健机构以外的癌症查干预措施错失的机会.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
背景情况:
- 乳房扫描查对于早期发现乳腺癌至关重要.
- 非初级保健机构可能代表了癌症查干预的错失机会.
研究的目的:
- 估计访问紧急护理,急诊室或住院的患者中,没有得到最新的乳房扫描查的比例.
- 评估非初级保健癌症查干预措施的潜在影响.
主要方法:
- 分析2019年国家卫生访谈调查成年女性 (40-74岁) 的调查数据.
- 估计急诊,急诊室访问或住院的急诊情况,对于那些没有最新的乳房扫描查的人来说.
- 后勤回归用于识别社会人口统计因素和查遵守之间的关联.
主要成果:
- 44.9%的40-74岁妇女在过去的一年没有进行乳房扫描查.
- 在未接受查的人群中,有29.2%的人去看急诊,21.8%的人去看急诊室,9.6%的人被住院治疗.
- 包括黑人和西班牙裔患者在内的服务不足的群体在没有最新的查中不成比例地代表.
结论:
- 没有推的乳房扫描查的女性中,很大一部分使用非初级保健服务.
- 紧急护理中心和急诊室可以作为促进乳腺癌查的关键接触点.
- 需要有针对性的干预措施,特别是对于服务不足的人群来说,以改善乳房检查的坚持.
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