乳房成像操作,实践和系统清单:一个框架来检查乳房扫描设施对农村社区查的影响
Roger T Anderson1,2, Marianne M Hillemeier3, Fabian T Camacho2
1University of Virginia Comprehensive Cancer Center, Charlottesville, Virginia, USA.
概括
开发并测试了阿巴拉契亚地区的乳房造影设施的测量框架. 调查结果显示,设施容量和诊断服务影响查的普及,与经济地位相关的资源差异.
科学领域:
- 放射学和成像科学 放射学和成像科学
- 公共卫生和流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乳房扫描查对于早期发现乳腺癌至关重要.
- 了解影响查的设施级因素对于改善访问和结果至关重要,特别是在像阿巴拉契亚这样的服务不足的地区.
研究的目的:
- 开发和验证一个测量框架,评估阿巴拉契亚地区的乳腺造影设施资源,政策和实践.
- 检查设施特征与乳腺造影查吸收之间的关系.
主要方法:
- 在肯塔基州,俄俄州,宾夕法尼亚州,弗吉尼亚州和西弗吉尼亚州的阿巴拉契亚地区,对192个乳房造影设施进行了调查.
- 使用探索性和确认性因素分析,将调查项目精细化为关键领域:能力,外展,运营支持,放射学审查和诊断服务.
- 分析了医疗保险索赔数据,通过与社区特征的关联,查吸收和市场覆盖率来评估构造有效性.
主要成果:
- 出现了五个关键因素:能力,外展和营销,运营支持,放射学审查和诊断服务.
- 影像能力和诊断服务与乳房镜查的普及有积极的关联.
- 经济上富裕的地区的医疗设施拥有更多的资源,并且与处于困境地区的医疗设施相比,它们是更大的医疗系统的一部分.
- 经济困难地区的设施更依赖于外展活动.
结论:
- 建立了一个18项测量框架,以评估乳腺成像服务和设施特点.
- 设施容量和诊断服务是乳房影像查普及的重要预测因素.
- 资源差异和对外联的依赖凸显了对经济困难的阿巴拉契亚社区有针对性的干预措施的需要.
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