乳腺癌和子宫癌计划在高COVID-19期间保持查的成功:定性多个案例研究分析
Dara Schlueter1, Yamisha Bermudez2, Karen F Debrot3
1Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Heliyon
|April 22, 2024
概括
六个国家乳腺癌和宫癌早期检测计划通过调整行政流程,提高患者安全和减少障碍,在COVID-19期间维持了查量. 这些策略为癌症查和慢性疾病计划提供了宝贵的教训.
科学领域:
- 公共卫生 公共卫生
- 癌症流行病学 癌症流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,全国各地的癌症查服务受到严重干扰.
- 大多数疾病控制和预防中心 (CDC) 国家乳腺和宫癌早期检测计划 (NBCCEDP) 接受者看到查量减少.
- 尽管州的COVID-19阳性率很高,但六名NBCCEDP接受者成功保持了查量.
研究的目的:
- 探索NBCCEDP接受者在COVID-19大流行期间保持乳腺和宫癌查量所采用的策略.
- 确定有助于持续查服务的组织和运营调整.
- 了解背景因素在支持查维护中的作用.
主要方法:
- 使用了定性多个案例研究设计.
- 与计划受益者,查提供商网站和合作组织进行了22次关键告密者采访.
- 对面试数据进行了主题分析,考虑了项目结构,诊所容量和州的COVID-19政策.
主要成果:
- 受益人简化了行政流程,并为安全查提供了定制的技术援助.
- 提供者网站加强了患者安全协议,改善了预约提醒,并增加了患者教育.
- 合作伙伴与提供者网站合作,以解决和减轻患者查的结构性障碍.
结论:
- 在接受者,提供者和合作伙伴层面的调整对于维持癌症查量至关重要.
- 结果为NBCCEDP计划,其他癌症查计划和初级保健机构提供了可操作的见解.
- 学习的经验可以为慢性疾病预防计划的应急准备和常规操作提供信息.
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