关于拟议的基于药房的结直肠癌查计划的患者观点
Renée M Ferrari1,2, Dana L Atkins3, Mary Wangen4
1Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Translational behavioral medicine
|September 27, 2023
概括
患者认为药店的结直肠癌 (CRC) 查是可以接受的,特别是便免疫化学测试 (FIT). 解决隐私和提供商沟通问题是成功实施服务不足社区的关键.
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
- 预防癌症 预防癌症
背景情况:
- 结肠直肠癌 (CRC) 是一个重大的公共卫生问题,但查仍未得到充分利用,特别是在服务不足的人群中.
- 目前的CRC查干预主要集中在初级保健,这对许多人来说可能是一个障碍.
- 药房为医疗保健提供了一个更容易获得的替代方案,并且可能非常适合CRC查计划.
研究的目的:
- 评估患者的观点,以药房为基础的结直肠癌 (CRC) 查程序使用便免疫化学测试 (FIT) 的可接受性.
- 确定患者对干预设计的偏好,以优化药房CRC查的实施.
主要方法:
- 与北卡罗来纳州和华盛顿州的参与者进行了半结构化采访,以探讨对药房CRC查的看法.
- 利用安德森的医疗保健利用模型和理论领域框架来指导采访过程.
- 采访被录音,转录和分析,以了解患者的看法.
主要成果:
- 患者普遍认为药房的CRC查是非常可接受的,他们欣赏了方便和避免办公室访问的共付费用.
- 关注患者隐私和与初级保健提供者的护理协调问题被认为是潜在的障碍.
- 对提供者和药剂师的信任,以及无的护理整合,被认为是计划成功的关键因素.
结论:
- 基于药房的便免疫化学测试 (FIT) 查结直肠癌 (CRC) 被患者认为是一种可接受的策略.
- 确保患者隐私,在药房和初级保健提供者之间建立清晰的沟通道,并实施闭环护理对于成功的项目结果至关重要,特别是异常结果.
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