解决肺癌查差异的多层次方法:一个研究协议
Randi M Williams1, Julia Whealan2, Kathryn L Taylor2
1Lombardi Comprehensive Cancer Center, Cancer Prevention and Control Program, Georgetown University Medical Center, Washington, DC, USA. rmw27@georgetown.edu.
Implementation science communications
|February 16, 2024
概括
这项研究测试了提供者和患者的策略,以提高高风险人群中的肺癌查率. 多层次干预表明,改善公平获得这种救命查的机会是有前途的.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 实施科学 实施科学
背景情况:
- 低剂量计算机断层扫描 (LDCT) 查可以将肺癌死亡率降低20-24%.
- 尽管有建议,但肺癌查的利用率仍然很低 (3-20%).
- 非洲裔美国人的生存率和查率较低,需要有针对性的干预措施.
研究的目的:
- 测试促进公平利用肺癌查的多层次策略.
- 解决查的提供者和患者一级决定因素.
- 为了减少少数群体的肺癌负担.
主要方法:
- 在四个初级保健诊所进行的准实验性研究.
- 招募了368名符合肺癌查条件的高危人群.
- 利用了EHR临床医生的提醒,并通过inreach专家进行了预访患者教育.
主要成果:
- 评估医疗服务提供者与患者的讨论,查意图,以及在基线和1周后访问的知识.
- 通过EHR. 测量了6个月的查转诊率和完成率.
- 评估实施结果:采用混合方法的采用,可行性,可接受性和忠实性.
结论:
- 这项研究将为未来关于公平肺部查的多层次策略的研究提供信息.
- 结果将指导努力,以推进肺癌查率的公平性.
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