在初级保健中诊断癌症的实施研究的优先事项:一个共识过程
Thomas A Willis1, Richard D Neal2, Fiona M Walter3
1Leeds Institute of Health Sciences, University of Leeds, Clarendon Way, Leeds, LS2 9NL, United Kingdom. t.a.willis@leeds.ac.uk.
BMC health services research
|November 28, 2023
概括
在初级保健中确定早期癌症诊断的研究优先事项至关重要. 这项研究强调了诊断支持和护理组织等关键领域,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 在初级保健中早期发现和诊断癌症仍然具有挑战性,在将研究转化为实践方面存在重大差距.
- 实施研究对于加速在医疗保健系统中采用基于证据的战略至关重要.
- 应对这些挑战对于减少可避免的癌症死亡率和发病率至关重要.
研究的目的:
- 在初级保健机构内确定和排列实施研究的研究优先事项,以早期癌症诊断为重点.
- 收集初级保健医生,患者和研究人员的意见,以告知研究议程.
- 为指导未来的研究工作和资源分配,以改善癌症检测和诊断.
主要方法:
- 采用了经过修改的Delphi共识流程,使用在线调查和共识小组.
- 初级保健医生,患者和研究人员建议和评价研究优先事项.
- 一个包括医生和患者在内的共识小组在结构化讨论后对建议进行了排名.
主要成果:
- 收到了115个初步建议,其中37个提交给了共识小组.
- 27个建议在两轮评估后获得了高度支持 (中位数为7-9).
- 首要任务包括诊断支持 (例如,成像访问),专业/患者教育,护理提供组织,以及了解护理变化.
结论:
- 在初级保健中建立了早期癌症诊断实施研究优先事项的排名清单.
- 这些优先事项以初级保健医生和患者的观点为基础.
- 建议研究人员和资助者将资源用于这些确定优先事项,以提高人口健康结果.
相关概念视频
01:30Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:26Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K
01:21Cancer Survival Analysis
356
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
356
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
01:10Documentation of Nursing Diagnosis
1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K