检查核心能力的可持续性和基于FIT的CRC查的基于证据的干预措施:加利福尼亚州结肠直肠癌控制计划
Ndukaku Omelu1, Marilyn Kempster1, LeeAnn Velasquez1
1California Department of Public Health, Sacramento, CA, USA.
Cancer control : journal of the Moffitt Cancer Center
|July 26, 2024
概括
许多卫星诊所在计划支持结束后努力维持对结直肠癌查策略的资金. 维持基本服务,如患者导航和社区卫生工作者,需要持续的财务稳定.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 预防癌症 预防癌症
背景情况:
- 加利福尼亚结肠癌控制计划 (C4P) 实施了提高结肠直肠癌 (CRC) 查采用便免疫化学测试 (FIT) 的策略.
- 七个卫生系统包括38个卫星诊所参与了C4P,评估疾病控制和预防中心 (CDC) 资金后的计划可持续性.
研究的目的:
- 评估C4P在卫星诊所中实施的CRC查策略的长期可持续性,而不需要C4P继续资助.
- 确定影响特定干预措施可持续性的因素,包括患者导航和社区卫生工作者.
主要方法:
- 一个前性队列设计与定量和定性调查方法 (闭式和开放式问题) 相结合.
- 评估卫星诊所维持资金,患者导航,社区卫生工作者,媒体平台,提供者提醒和专业发展的能力.
主要成果:
- 只有26%的卫星诊所实现了资金稳定,61%无法实现.
- 可持续性因干预措施而异:所有诊所都支持提供者提醒和专业发展,而患者导航 (26%) 和社区卫生工作者 (21%) 的可持续性较低.
- 定性数据显示,需要支持没有保险的人群,协调护理,加强服务,解决交通和员工工资等障碍.
结论:
- 资金稳定对于维持卫星诊所中重要的结直肠癌查策略至关重要.
- 解决已识别的障碍,确保持续的财政支持是长期计划成功和改善癌症查率的关键.
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