在医疗服务不足的社区中识别和解决查乳房图像的障碍
Carla R Zeballos Torrez1, Julia Anna Gasior2, Sara P Ginzberg3
1Department of Radiology, University of Pennsylvania Health System, 3400 Spruce Street, Philadelphia, PA (C.R.Z.T., L.W.N., B.S.E., C.E.E.).
Academic radiology
|December 27, 2023
概括
黑人女性面临更高的乳腺癌死亡率. 这项研究确定了成本和保险是西费城社区乳房镜检查的关键障碍,突出了需要更好的导航和后续策略的需要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 与白人女性相比,黑人女性患乳腺癌的死亡率高出40%.
- 医疗服务不足的社区,特别是那些占黑人居民比例较高的社区,在乳腺癌查和诊断方面面临着独特的挑战.
研究的目的:
- 评估对乳腺癌查建议的知识.
- 识别乳腺癌风险评估和乳房扫描查的障碍.
- 评估低收入,主要是黑人社区妇女的诊断随访延迟情况.
主要方法:
- 在免费的移动乳房镜查活动中,对妇女进行了调查.
- 收集的数据包括对查的看法和障碍,以及医疗保险状况.
- 对于从查中召回的妇女,收集了对诊断成像和活检时间的回顾性数据.
主要成果:
- 成本和缺乏保险覆盖是对查乳房镜检查 (30%) 最常提到的障碍.
- 50岁以下的女性报告的查障碍比老年女性更多.
- 没有初级保健医生 (PCP) 的妇女观察到活检延迟的趋势.
结论:
- 移动乳房造影活动可以帮助克服查障碍,但需要加强后续护理的导航和协调.
- 解决财务和后勤障碍对于改善乳腺癌查率和结果至关重要.
- 对所有患者来说,及时诊断解决是必不可少的,特别是在服务不足的社区.
相关概念视频
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Preventive 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
Imaging Studies I: CT and MRI
247
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
247
Barriers to Effective Communication I
8.9K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
8.9K
Radiological Investigation I: X-ray and CT
241
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
241


