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相关概念视频

Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
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Radionuclide Testing
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供应商和系统层面的障碍和促进者对结肠镜和多目标便DNA进行结肠直肠癌查在农村/偏远阿拉斯加原住民社区.

Diana Redwood1, Melissa Toffolon2, Christie Flanagan1

  • 1Alaska Native Tribal Health Consortium, 3900 Ambassador Dr., Anchorage, AK 99508, USA.

International journal of environmental research and public health
|November 24, 2023
PubMed
概括

阿拉斯加原住民的结肠直肠癌 (CRC) 查面临提供者和系统障碍. 多目标便DNA (mt-sDNA) 测试可以克服一些结肠镜检查的挑战,但需要进一步的研究.

关键词:
阿拉斯加原住民 阿拉斯加原住民癌症查 癌症查结肠直肠癌是什么意思大肠直肠瘤/预防和控制早期发现癌症的早期检测医疗保健 医疗保健 医疗保健卫生工作人员的健康工作人员.提供者提供者提供者提供者提供者提供者查屏障的查障碍调查和问卷调查和问卷调查.

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科学领域:

  • 公共卫生 公共卫生
  • 预防癌症 预防癌症
  • 健康差异 在健康上的差异

背景情况:

  • 阿拉斯加原住民的结肠直肠癌 (CRC) 发病率是世界上最高的.
  • 阿拉斯加部落卫生系统旨在改善该人口的CRC查.
  • 了解供应商和系统障碍对于有效的选策略至关重要.

研究的目的:

  • 检查CRC查的提供者和系统层面的障碍和促进者.
  • 从服务阿拉斯加原住民在农村/偏远地区的医疗保健提供者的角度来探索这些因素.
  • 评估多目标便DNA (mt-sDNA) 测试作为结肠镜检查的替代方案或补充方案的潜力.

主要方法:

  • 与医疗保健提供者 (医生,先进实践提供者,社区卫生助理/从业者) 进行了28次深入采访.
  • 采访发生在2021年2月1日至11月30日期间.
  • 对结肠镜检查和mt-sDNA查提供者观点的定性分析.

主要成果:

  • 结肠镜检查的障碍包括提供者的时间,竞争的优先事项,人员,旅行费用,天气和COVID-19.
  • mt-sDNA障碍涉及测试可行性,提供者不熟悉,以及之前的便测试经验.
  • 对这两种方法来说,有限的医疗记录提醒是障碍.
  • 促进者包括社区外展,文化能力,患者导航和系统改进.

结论:

  • mt-sDNA测试可以解决结肠镜障碍,如等候名单和旅行费用.
  • 对结肠镜检查的系统层面障碍仍然很大.
  • 需要进一步研究患者障碍/促进者和mt-sDNA集成,以减少癌症差异,并促进阿拉斯加原住民在CRC预防中的公平.