关于增加宫癌查的基于证据的策略的广泛文献综述
Kathryn J Bonuck1, Heather Angier2, Sara McCrimmon1
1Oregon Health & Science University, Portland, OR, USA.
Journal of primary care & community health
|December 22, 2023
概括
临床工作流程重新设计和患者教育策略显示,在美国初级保健中增加宫癌查率是有前途的. 这些发现对于减少查差异至关重要,特别是在服务不足的人群中.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国的宫癌查率还没有达到健康人2030目标.
- 现有的查策略审查已有十多年的历史,指南于2018年更新.
- 需要进行更新的审查,以确定当前初级保健机构的有效策略.
研究的目的:
- 确定成功的策略,以提高美国初级保健机构的宫癌查率.
- 评估在2012年美国预防性服务工作组指导方针之后实施的战略.
- 将调查结果映射到预先规定的实施战略类别.
主要方法:
- 使用PubMed,Scopus和Ovid Medline数据库进行了范围审查.
- 包括2012年至2021年间发表的文章,重点关注美国初级保健机构.
- 总共抽象了14项研究,11项报告增加了查率.
主要成果:
- 临床工作流程重新设计的策略在改善查率方面表现出了最有意义的承诺.
- 患者教育策略产生了不同的结果.
- 发现质量管理策略在提高查率方面无效.
结论:
- 临床工作流程重组和患者教育是提高初级保健中宫癌查的有效策略.
- 这些发现对于解决查差异至关重要,特别是在服务不足的人群中.
- 在为弱势群体服务的环境中,可能需要额外的实施策略.
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