星期六帕普涂抹诊所:解决宫癌查障碍
Brittany Strelow1,2, Mollie Francis2, Gabrielle Gertner2
1Community Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA strelow.brittany@mayo.edu.
BMJ open quality
|July 14, 2023
概括
提供周六巴氏涂抹诊所预约,在符合条件的妇女中,子宫癌查的遵守率增加了1.2%. 这项干预措施解决了任命障碍,改善了查率和患者健康结果.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 由于HPV疫苗接种和Papanicolaou (Pap) 测试,子宫癌发病率显著下降.
- 通过例行查进行早期检测,可以大大改善患者的治疗结果.
- 尽管取得了进展,但查合规仍然是许多医疗保健机构面临的挑战.
研究的目的:
- 评估"星期六巴氏涂抹诊所"对宫癌查合规性的影响.
- 通过提供可访问的,非传统的预约时间来解决查障碍.
- 在12周内,在社区内科 (CIM) 诊所,将子宫癌查率提高1%.
主要方法:
- 在CIM诊所实施了一项干预措施,提供周六的预约,全是女性工作人员.
- 在干预组 (CIM) 和控制组 (家庭医学 - FM) 之间比较了患者遵守率.
- 不符合要求的患者收到提供查选项的消息.
主要成果:
- 在CIM中,非符合性女性的宫癌查遵守率在干预后提高了1.2%.
- 与 FM 控制组相比,CIM 干预组显示了显著的合规性改善.
- 50-65岁的患者,特别是白人女性,是星期六诊所的主要用户.
结论:
- 可访问的星期六预约可以有效地提高宫癌查遵守.
- 消除妇女的后勤障碍对于改善健康结果至关重要.
- 有针对性的干预措施可以解决差异,并改善预防性护理的普及率.
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