用多目标便DNA测试完成患者-提供者沟通和结肠直肠癌查
Xuan Zhu1, Linda Squiers2, Gabriel Madson2
1Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. zhu.xuan@mayo.edu.
概括
患者和提供者之间的有效结肠直肠癌 (CRC) 查沟通显著提高了测试完成率. 讨论成本,后续行动和指令可以提高合规性,而共同决策是关键.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 卫生沟通健康沟通
背景情况:
- 结肠直肠癌 (CRC) 查在美国未得到充分利用,尽管有指导方针推的选择.
- 提供者建议对于提高CRC查完成率至关重要.
研究的目的:
- 为了确定与多目标便DNA (mt-sDNA) 查完成相关的患者-提供者沟通因素.
- 为旨在提高CRC查遵守率的干预提供信息.
主要方法:
- 一项基于行为理论的调查对美国45-75岁的成年人进行,他们收到了mt-sDNA查的订单.
- 多变量逻辑回归分析了与 mt-sDNA 测试完成相关的通信因素.
- 从2973名参与者收集的数据 (21.7%的响应率).
主要成果:
- 81.6%的参与者在订购前与他们的提供者讨论了mt-sDNA测试.
- 涵盖成本,后续行动和指令的对话与更高的测试完成率和未来使用概率相关.
- 缺乏讨论查选项的利弊,以及患者参与度有限,降低了完成率.
结论:
- 医疗保健提供者在提高患者遵守CRC查方面发挥着关键作用.
- 提供者需要资源和培训,以有效教育患者,并促进CRC查选择的共享决策.
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