通过识别,测试和查 (ACE-ITS) 计划实现癌症平等的设计和试点实施,在一个资源不足的城市人口中
Chiranjeev Dash1, Mary G Mills1, Thelma D Jones2
1Georgetown Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, District of Columbia, USA.
Cancer
|September 11, 2023
概括
通过识别,测试和查 (ACE-ITS) 实现癌症公平计划利用社区参与和患者导航来提高乳房镜检查和基因检测率,以改善服务不足的妇女.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症查 癌症查
背景情况:
- 通过识别,测试和查 (ACE-ITS) 计划实现癌症公平,旨在解决受服务不足人群中乳腺癌查和基因测试方面的差异.
- 它采用一个多层次的,社区参与的框架来增强患者导航和教育.
研究的目的:
- 描述ACE-ITS计划的实施,这是一个质量改进倡议.
- 减少对黑人和西班牙裔妇女进行乳腺癌检测和遗传风险评估的查相关差异.
主要方法:
- 该ACE-ITS计划将个人层面的干预 (基因检测,导航) 与社区层面的教育相结合.
- 它的目标是生物,行为,社会文化和医疗保健系统领域,使用研究框架.
- 实用强有力的实施和可持续性模型指导计划实施.
主要成果:
- 开发了有关乳房影像和遗传检测的教育模块,并将其整合到社区会议中.
- 实施了通用遗传风险评估工具和自动化文本提醒.
- 在2020-2021年期间,举行了22个教育会议,585名妇女被导航到乳房镜,292名妇女接受了遗传风险评估,其中7名接受了咨询/测试.
结论:
- 该ACE-ITS计划是一个多层次的,社区参与的质量改进计划.
- 它旨在减少黑人和西班牙裔妇女的查相关差异.
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