在澳大利亚实施初级HPV宫查对病理学部门的早期影响:一种定性研究
Claire Bavor1, Julia Ml Brotherton2,3, Megan A Smith4
1Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, 3010, Australia. c.bavor@unimelb.edu.au.
BMC health services research
|October 6, 2023
概括
澳大利亚 澳大利亚 澳大利亚
科学领域:
- 公共卫生 公共卫生
- 分子诊断学 分子诊断学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 澳大利亚国家宫检查计划从细胞学转向初级人类乳头瘤病毒 (HPV) 测试.
- 这次"更新"涉及查间隔和年龄的变化,影响了程序交付和病理学服务.
- 该研究调查了这种转变对病理学部门的早期影响.
研究的目的:
- 了解宫部查计划过渡到病理学部门内初级HPV检测的早期影响和实施经验.
- 在计划更新后,确定病理学部门的挑战,推动因素和改进领域.
主要方法:
- 使用半结构面试进行的定性研究,对49个参与"更新实施和经验研究 (STORIES) "的关键利益相关者进行了半结构面试.
- 分析了24次专注于病理学部门的访谈的子集,使用诱导性主题分析,过渡后11-20个月.
主要成果:
- 初级HPV查被认为是可以接受和基于证据的,但在实验室基础设施,资源,人员和财务方面,实施面临挑战.
- 新的IT系统和国家癌症查注册表的功能存在困难,影响了运营.
- 错过的机会包括有限的自我收集可用性和非标准化的病理形式,影响了计划的公平性.
结论:
- 转向初级HPV查显著影响了澳大利亚的病理学部门,因为它的复杂性.
- 有效的变革管理,明确的沟通和充足的资金对于在这种过渡期间支持病理学服务至关重要.
- 这些经验教训对于其他国家计划更新类似的宫查计划至关重要.
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