全科医生对他们在荷兰癌症查计划中的作用的看法和信念:一项混合方法研究
Thomas H G Bongaerts1,2, Frederike L Büchner3,4, Vera Nierkens4
1Health Campus The Hague, Leiden University Medical Center, The Hague, the Netherlands. t.h.g.bongaerts@lumc.nl.
BMC primary care
|April 24, 2024
概括
荷兰的全科医生 (GPs) 对癌症查计划 (CSPs) 有积极的看法,并支持他们的参与. 虽然愿意赋予CSP权力,但一般医生犹不决地承担额外的后勤任务,强调需要改善查普及率,特别是在弱势群体中.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 癌症流行病学 癌症流行病学
背景情况:
- 荷兰的宫癌,乳腺癌和结直肠癌的癌症查计划 (CSP) 面临着参与率下降和区域差异.
- 一般医生 (GP) 的参与被认为是可以增加查采用的一个因素,但目前的参与是有限的和不同的.
- 了解一般医生对其在CSP中的角色的看法对于优化计划有效性至关重要.
研究的目的:
- 调查全科医生 (GPs) 关于他们目前和未来在荷兰癌症查计划 (CSPs) 中的角色的看法和信念.
- 确定增强GP参与的潜在策略,以改善查参与.
主要方法:
- 在莱登/海牙地区进行了一项混合方法的顺序解释性研究.
- 一份问卷分发给110名全科医生,随后与有目的地选择的参与者进行半结构面试.
- 这种方法旨在加深对调查问卷数据的理解,并探索新出现的主题.
主要成果:
- 调查问卷的回答率达到了42% (46名全科医生),随后进行了五次采访.
- 一般医生认为CSP很重要,并承认他们在日常实践中经常遇到CSP.
- 一般医生表示愿意积极授权CSP,但不愿意承担额外的后勤或组织责任.
结论:
- 一般来说,一般医生对CSP及其现有角色持积极看法.
- 提议的改进重点是加强查的普及,特别是对于社会经济弱势群体.
- 针对高风险个体是改善查特异性瘤检测结果的关键.
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