卫生系统提供的共享乘车是安全的,并解决了完成结肠镜检查的障碍
Rachel B Issaka1, Ari Bell-Brown2, Talor Hopkins2
1Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, Washington; Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Center, Seattle, Washington; Division of Gastroenterology, University of Washington School of Medicine, Seattle, Washington.
缺乏交通工具和陪伴者使得许多患者无法完成结肠镜检查,特别是在服务不足的社区. 创新解决方案对于克服这些障碍和改善获得必要的消化系统疾病查和护理至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠镜是重要的查工具,在2019年在美国进行了近1400万次.
- 目前的做法要求患者有陪伴者进行静止后的运输,这构成了后勤挑战.
- 交通和陪伴者访问是很大的障碍,特别是在安全网卫生系统和联邦合格的卫生中心.
研究的目的:
- 要突出由于缺乏运输和陪伴者而导致结肠镜检查完成的持续障碍.
- 强调需要创新的解决方案来应对结肠镜检查的后勤挑战.
- 解决消化系统疾病护理方面的差异,这些疾病需要结肠镜来诊断和管理.
主要方法:
- 审查当前的实践和在结肠镜护理中发现的障碍.
- 对社会经济和人口统计学因素的分析,这些因素有助于访问问题.
- 讨论这些障碍对具有更高社会需求的患者群体的影响.
主要成果:
- 缺乏运输和/或陪同者是完成结肠镜检查的持续障碍.
- 这些障碍不成比例地影响着安全网环境中的患者和收入较低或社会需求较高的患者.
- 这些物流挑战加剧了消化系统疾病的现有差异.
结论:
- 创新策略对于克服结肠镜检查的运输和监护障碍至关重要.
- 解决这些后勤障碍对于提高结肠镜完成率至关重要.
- 公平获得结肠镜检查是必要的,以减轻消化系统疾病诊断和管理方面的差异.
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