适应农村初级保健实践中随访结肠镜的患者导航计划
Jamie H Thompson1, Jennifer S Rivelli1, Jennifer L Schneider1
1Science Programs Department, Kaiser Permanente Center for Health Research, Portland, Oregon, USA.
Journal of evaluation in clinical practice
|June 27, 2024
概括
适应农村需求和COVID-19流行病的患者导航计划改善了后续结肠镜检查率. 这些有益的农村初级保健适应应用于未来的实施项目.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 癌症查实施实施方案
背景情况:
- 患者导航对于改善服务不足的农村人口面临进入障碍的癌症查至关重要.
- 在异常便检测后的随访结肠镜率仍然是农村初级保健机构面临的挑战.
研究的目的:
- 报告患者导航计划的调整,旨在提高农村初级保健中的随访结肠镜率.
- 评估计划和计划之外的调整对计划交付和成果的影响.
主要方法:
- 在俄勒冈州28家农村初级保健诊所实施了患者导航计划.
- 通过培训反思,采访,临床会议和辅导员反来跟踪适应情况.
- 数据收集集中在主动 (试验前) 和反应性 (试验期间) 修改上.
主要成果:
- 最初的适应措施解决了农村面临的挑战,如供应商短缺和地理分散.
- 由于COVID-19大流行,需要进行计划外的调整,包括暂停护理和人员配置问题.
- 计划和非计划的调整都对农村环境中的项目交付产生了积极的影响.
结论:
- 对患者导航计划的调整,包括在COVID-19大流行期间的调整,对于农村环境来说是有益的.
- 对于未来的农村实施项目,建议维持这些培训内容和背景变化.
- 研究结果为优化类似农村医疗保健环境中的患者导航计划提供了指导.
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