管理层选择在瘤查计划中获得更好的结果.
Angela Chiereghin1, Lorena Squillace2, Lorenzo Pizzi2
1Governance of Screening Programmes Unit, Health Management Staff, Local Health Authority of Bologna (Italy); angela.chiereghin@ausl.bologna.it.
Epidemiologia e prevenzione
|May 21, 2024
概括
实施组织变革显著提高了癌症查参与率. 策略包括资源优化和有针对性的宣传,导致对乳腺癌,宫癌和结直肠癌查的参与度提高.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 改善癌症查参与和随访是一个重大的公共卫生挑战.
- 有效的规划和组织内部干预对于加强查计划至关重要.
- 以前的文献强调了提供高质量的医疗保健的关键要素.
研究的目的:
- 评估组织内部干预对三个基于人口的癌症查计划 (乳腺癌,宫癌,结直肠癌) 的影响.
- 分析干预前后查参与率的变化.
- 确定有助于提高查计划绩效的因素.
主要方法:
- 对高质量的医疗保健要素进行了文献审查.
- 作为改进策略的理论框架,使用了前进过程模型.
- 干预措施按目标分类:个人,人口,卫生工作者,测试和服务管理.
- 分析了2018年,2019年和2022年的第一级查测试参与率.
主要成果:
- 推动变革的关键因素包括资源优化,领导力,协作,利益相关方参与,积极的工作文化和员工学习.
- 实施的策略包括提醒,媒体宣传,HPV测试自取样,以及增加可访问性.
- 与2018/2019年相比,2022年所有三种癌症类型的查参与率显著增加.
- 具体来说,与2019年相比,参与率在乳腺癌查中增加了3%,在宫癌查中增加了8.5%,在结直肠癌查中增加了4.6%.
结论:
- 实施的改进策略可能导致观察到的癌症查参与率增加.
- 持续的绩效测量和反对于持续的项目改进至关重要.
- 组织干预可以有效地改善参与基于人口的癌症查计划.
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