在初级医疗保健中进行全息眼镜检查:一个全面的综述
Vicente A Benites-Zapata1, Enrique A Hernandez-Bustamante1,2, Luis M Acuña-Chávez2
1Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Perú.
Journal of primary care & community health
|September 23, 2023
概括
在资源乏的环境中,改善宫癌查是至关重要的. 本综述总结了有关肠镜可访问性,患者偏好和对初级医疗保健的满意度的研究,以加强查过程.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 医疗保健管理的管理
背景情况:
- 低收入和中等收入国家承受着不成比例的子宫癌负担,占全球病例的85%.
- 有效的查方法对于减少这些地区的发病率和死亡率至关重要.
- 结肠镜在异常的宫部查测试的管理中起着至关重要的作用.
研究的目的:
- 系统地审查和总结评估初级医疗保健机构内镜检查的研究的主要特征.
- 为了确定影响可访问性,覆盖率,患者偏好,满意度和接受镜的因素.
- 了解在初级保健中实施镜检查的障碍和促进因素.
主要方法:
- 在五个主要数据库 (PubMed,Scopus,Embase,Ovid/Medline,Web of Science) 进行了全面的搜索.
- 搜索策略包括MeSH,Emtree和免费术语.
- 使用EndNote 20.1和Rayyan QCRI进行了选和数据提取,并使用了预设数据表.
主要成果:
- 在选了1127个参考文献后,包括了7项研究.
- 大多数研究的重点是镜利用后人乳头瘤病毒 (HPV) 查.
- 关键发现包括评估镜分中心化到初级保健和检查障碍的识别.
结论:
- 有限的研究存在于低资源环境中的初级保健中对镜的实施.
- 识别障碍物和优化护理结构对于成功实施镜检查至关重要.
- 成功实施可以显著降低宫癌发病率和死亡率.
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