基于初级保健实践的干预措施及其对参与基于人口的癌症查计划的影响:系统的叙事审查
Ebony J Verbunt1, Grace Newman1, Nicola S Creagh1
1Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Primary health care research & development
|February 12, 2024
概括
多元干预措施,包括审计,反,提醒和患者教育,是增加癌症查参与的关键. 整个实践的方法和实践冠军提高了初级保健机构的有效性.
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:
- 在全球范围内,基于人口的癌症查计划 (肠道,乳腺,宫) 的参与率较低.
- 初级卫生保健工作者 (PHCW) 对患者查决策至关重要,但面临参与障碍.
- 优化PHCW角色以促进查参与需要进一步调查.
研究的目的:
- 系统地综合基于初级保健实践的干预措施.
- 评估这些干预措施对参与基于人口的癌症查的影响.
- 确定有效的干预组件和背景因素.
主要方法:
- 从2010年1月到2023年11月,在Medline,EMBASE和CINAHL进行了全面的文献搜索.
- 进行了数据提取,质量评估和合成.
- 研究按单组分与多组分干预和研究类型进行分类.
主要成果:
- 包括49项研究,其中36项来自美国.
- 多组件干预措施,通常结合审计/反,提供者提醒,实践改进和患者教育,对查参与产生了积极影响.
- 对于肠道查,在护理点提供套装是有效的. "整体实践方法"和"实践冠军"被确定为关键的背景因素.
结论:
- 综合了专注于从业者和专注于患者的组件的复杂干预措施是必要的,以加强癌症查参与初级保健.
- 这一综合提供了对有效的初级保健干预措施的基本组成部分和上下文因素的新见解.
- 实施这些发现可以帮助优化初级保健在增加癌症查率中的作用.
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