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在城市美洲原住民诊所开展肺癌查推广计划
Camille Robichaux1, Madison Anderson2, Rebecca Freese3
1Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota, Minneapolis, MN, USA.
Journal of primary care & community health
|November 23, 2023
概括
在美国原住民患者中进行肺癌查的文化向推广显示吸收率低. 需要进一步干预,以提高查CT扫描下令后的完成率.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症查 癌症查
背景情况:
- 肺癌查对于早期检测至关重要.
- 需要有针对性的干预措施来提高服务不足人群的查率.
- 城市美洲原住民诊所在获得医疗保健方面面临着独特的挑战.
研究的目的:
- 评估两个文化定向推广策略对肺癌查吸收的有效性.
- 评估文化定制的邮件和短信对选参与的影响.
- 在符合条件的美洲原住民患者中确定完成肺癌查的障碍.
主要方法:
- 一项随机对照试验与符合肺癌查条件的患者进行.
- 参与者收到单一的文化定向邮件或邮件加短信和额外的邮件.
- 收集了关于共享决策访问安排和完成查CT考试的数据.
主要成果:
- 在两个干预组中,观察到共享决策访问安排的低率 (8.5%).
- 在文化目标推广组和对照组之间,在访问安排方面没有发现显著差异.
- 大约50%的订购的肺癌查CT检查已经完成.
结论:
- 文化针对性的干预措施虽然成本低,但在这个城市美洲原住民诊所中,肺癌查率并没有显著增加.
- 订购和完成的查CT数量之间存在很大的差距,这表明需要进一步干预.
- 未来的努力应集中在改善订购肺癌查CT扫描的完成率上.
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