实施一个有组织的结肠直肠癌查计划:从学术-社区实践中吸取的教训
Amanda Kimura1, Ari Bell-Brown1, Nkem Akinsoto2
1Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Center, Seattle, Washington.
AJPM focus
|February 15, 2024
概括
通过使用邮寄便免疫化学测试 (FIT) 实施有组织的结直肠癌查计划,可以提高查率. 这种现实世界的经验突出了成功采用计划和患者受益的关键因素.
科学领域:
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 邮寄便免疫化学测试 (FIT) 宣传可以提高结肠直肠癌 (CRC) 查的有效性.
- 关于实施有组织的CRC查计划的现实世界经验是有限的.
研究的目的:
- 综合组织CRC查计划的实施过程,利用邮寄FIT宣传.
- 分享现实世界的经验,以潜在地增加类似计划的采用.
主要方法:
- 一个跨机构组织的CRC查计划是在与人口健康团队和初级保健合作开发的.
- 定义的关键要素包括机构方法,目标人群,查方法,团队责任,质量保证和癌症发生率识别.
- 该程序的工作流包括邮寄的明信片,MyChart消息,FIT套件和提醒,以及对异常结果的导航.
主要成果:
- 该计划在第一年选了9719名符合条件的患者.
- 一项治疗意图分析显示,32%的患者通过FIT或结肠镜完成了CRC查.
- 该计划通过结构化的外展和后续过程促进了CRC查.
结论:
- 试点数据的广泛传播,早期的机构支持,强大的数据管理和强大的部门间合作对于成功实施至关重要.
- 这种现实世界的经验为建立有组织的CRC查计划提供了一个模型.
- 成功实施可以改善CRC查率和患者利益.
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