在美国初级保健中实施健康IT用于癌症查:范围审查
Constance Owens-Jasey1,2,3, Jinying Chen4,5,6, Ran Xu7
1BRIDGE-C2 Implementation Science Center in Cancer Control, Oregon Health & Science University, Portland, OR, United States.
JMIR cancer
|April 30, 2024
概括
卫生IT干预措施有望改善癌症查,但在初级保健中的有效性和采用方面存在证据差距. 需要进一步的研究,以确保公平地获得这些有益的技术.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 许多美国人对推的癌症查没有最新的了解.
- 卫生IT (HIT) 干预措施显示出提高查率的潜力.
- 在初级保健中优化HIT用于癌症查的方法尚不清楚.
研究的目的:
- 确定支持符合指南的乳腺,宫和结直肠癌查的HIT干预措施.
- 确定在初级保健中有效实施HIT的障碍和促进因素.
主要方法:
- 对基于美国的研究 (2015-2021) 在初级保健中癌症查中的HIT进行范围审查.
- 在四个主要的数据库中进行了搜索 (MEDLINE,CINAHL Plus,科学网,IEEE Xplore).
- 利用实施科学框架和PRISMA-ScR指南用于数据提取和报告.
主要成果:
- 包括101项研究,大多数 (84.2%) 使用基于电子健康记录 (EHR) 的HIT.
- 临床决策支持是最常见的HIT功能.
- HIT干预与改善结直肠癌 (67%),乳腺癌 (64%) 和子宫癌 (70%) 的查率有关.
- 采用HIT的障碍往往与初级保健设置因素 (例如人员,政策) 有关.
结论:
- 关于HIT对符合指导方针的乳腺癌和结直肠癌查的有效性存在显著的证据差距.
- 需要更多的研究来加强有效的癌症查HIT的采用.
- 在多样化的初级保健人群中,HIT福利的公平覆盖需要进一步调查.
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