在瑞典使用观察数据和状态过渡模型可视化标准化癌症患者途径的性能
Sixten Borg1,2, Ann-Sofi Hörstedt3, Tobias Carlsson3
1Regional Cancer Centre South, RCC Syd, Scheelevägen 8, 223 81, Lund, Sweden. sixten.borg@skane.se.
Scientific reports
|November 9, 2023
概括
标准化癌症患者途径 (CPPs) 改善了癌症诊断和护理公平. 可视化显示这些途径有效地检测癌症,尽管并非所有目标都达到了.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 2015年,瑞典实施了标准化癌症患者途径 (CPPs).
- 目标是提高癌症诊断,患者满意度和护理公平.
研究的目的:
- 通过CPP可视化患者流动,分析调查时间和结果.
- 评估CPP目标的实现 (包括和时间).
- 为了确定未被发现的癌症的频率.
主要方法:
- 使用状态过渡模型分析了CPP中的19204名患者和7895名癌症患者的数据.
- 在瑞典的一个地区收集了2018年患者数据.
- 在模型状态内,患者随着时间的推移被映射出来.
主要成果:
- 在28个CPP中,只有12个达到了包容性目标;五个达到了时间目标.
- 在癌症嫌疑被拒绝后,0.8%的人被诊断为最初怀疑的癌症,1.0%的人患有另一种癌症.
- 不到3%的患者不符合有充分依据的怀疑标准,后来被诊断患有癌症.
结论:
- 通过CPP可视化患者流动有效地说明了调查速度,事件和结果.
- 标准化癌症患者途径证明了有效的癌症检测.
- 虽然目标尚未完全实现,但CPPs有助于及时和公平的癌症护理.
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