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在为服务不足的西班牙裔人口提供护理的诊所实施邮寄便样本查计划.

Nikit Venishetty1, Jessica Calderon-Mora2, Navkiran K Shokar2

  • 1Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, United States.

Cancer treatment and research communications
|September 2, 2023
PubMed
概括

邮寄的便免疫化学测试 (FITs) 可以增加结直肠癌 (CRC) 查. 在发送FIT套件之前的一次入门电话显著提高了沿美墨边境的西班牙裔人口中CRC查完成率.

关键词:
边境人口的人口.结肠直肠癌是一种癌症.便检测 便检测 便检测西班牙裔癌症查.西班牙裔美国人.邮寄的选检查.

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科学领域:

  • 公共卫生 公共卫生
  • 预防癌症 预防癌症
  • 健康差异 在健康上的差异

背景情况:

  • 结肠直肠癌 (CRC) 不成比例地影响美国西班牙裔人口,他们的查率较低.
  • 邮寄便免疫化学测试 (FIT) 提供了一种具有成本效益的策略,以改善服务不足社区的CRC查.
  • 边境地区的联邦合格卫生中心 (FQHC) 服务于具有独特医疗需求的弱势群体.

研究的目的:

  • 评估结合邮寄FIT套件的入门电话对CRC查完成的影响.
  • 评估这种干预措施在居住在美墨边境县的西班牙裔人口中的有效性.

主要方法:

  • 进行了一项前性,务实,双臂干预研究.
  • 参与者要么收到邮寄的FIT套件,再加上提醒电话 (通常的护理),要么收到通常的护理,然后先打电话介绍.
  • 衡量的主要结果是返回完成FIT套件的患者的百分比.

主要成果:

  • 一个入门电话显著提高了FIT套件回报率的绝对率4.5% (P = 0.003).
  • 人口统计数据表明,返回FIT套件的参与者通常是失业者,受过有限的正规教育,并报告健康状况不佳.
  • 该干预表明,查完成率在统计学上有显著改善.

结论:

  • 将一个入门电话添加到邮寄的FIT干预套件中是一个有效的策略,以提高CRC查完成率.
  • 这种方法有望提高边境地区脆弱的西班牙裔人口的癌症查率.
  • 有针对性的外展干预对于解决癌症查中的健康差异至关重要.