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根据风险量身定制的有组织黑色素瘤查计划的可接受性和适当性:与关键信息人进行定性访谈
Kate L A Dunlop1,2, Louise A Keogh3, Andrea L Smith1
1The Daffodil Centre, The University of Sydney, A Joint Venture with Cancer Council NSW, Sydney, NSW, Australia.
PloS one
|December 13, 2023
概括
澳大利亚的关键消息人士认为,根据风险量身定制的黑色素瘤查是可以接受的. 实施需要解决数据缺口和公共信息等障碍,同时利用改善健康公平等促进因素.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 机会性皮肤检查黑色素瘤在澳大利亚很常见,引发了人们对过度诊断的担忧.
- 根据风险量身定制的癌症查提供了基于个体风险因素的个性化查.
- 成功实施需要改变临床实践和消费者行为.
研究的目的:
- 探索澳大利亚关键信息人对风险量身定制的有组织黑色素瘤查的可接受性和适当性的看法.
- 为了确定障碍,促进者,以及潜在的未来实施风险量身定制的黑色素瘤查的策略.
主要方法:
- 定性研究利用半结构化采访与有目的地选择的关键告密者.
- 参与者包括政策制定者,消费者,卫生专业人员和在黑色素瘤检测和查方面的专业知识的研究人员.
- 数据分析采用了演方法,使用了针对慢性疾病的定制实施 (TICD) 检查清单.
主要成果:
- 关键消息人士普遍认为,根据风险量身定制的黑色素瘤查原则上是可以接受和适当的.
- 确定的障碍包括缺乏试验数据,低风险群体不愿放弃查,变化的一般实践技能和不清晰的公共卫生信息.
- 促进者包括改善健康公平的潜力和风险量身定制方法的成本效益.
结论:
- 关键消息人士表示支持风险量身定制的黑色素瘤查,强调需要进一步考虑.
- 下一步涉及完善风险评估,政策制定和成本效益建模.
- 解决这些因素将为未来可能实施基于人口的风险量身定制的黑色素瘤查提供信息.
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