影响乌克兰初级保健医生实践中结肠直肠癌查的因素
Ali Dzhemiliev1, Darya Kizub2, Kerollos Nashat Wanis3
1Division of General and Gastrointestinal Surgery, Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
JCO global oncology
|August 1, 2024
概括
乌克兰的初级保健医生面临着对结直肠癌 (CRC) 查的障碍,包括培训和资源不足. 改善对查测试的准入和指导方针的认识可以提高CRC查实践.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠直肠癌 (CRC) 查对于早期检测和减少死亡率至关重要.
- 乌克兰的医疗保健系统面临着挑战,持续的战争加剧了挑战,影响了查实践.
研究的目的:
- 确定影响乌克兰初级保健医生 (PCP) 中CRC查实践的因素.
- 从PCP的角度确定CRC查的障碍和促进者.
- 在乌克兰和其他低收入和中等收入国家 (LMICs) 进行CRC查和结果的改进.
主要方法:
- 电子调查分发给740名乌克兰PCP.
- 调查问题侧重于CRC查实践,信念和障碍,从既定的框架中调整.
- 响应被标准化为国家PCP人口统计数据,以估计人口层面的感知.
主要成果:
- 大多数受访者是女性 (91%),专门从事家庭医学 (84%).
- 临床医生承认结肠镜的有效性 (80%) 和转诊率 (75%),但指出培训和资源不足是主要障碍.
- 便隐性血液检测和结肠镜的可用性与更高的利用率相关;指南的熟悉性和教育与转诊有积极的关联.
结论:
- 获得CRC查测试和对指南的认识是提高查实践的关键.
- 除了以患者为中心的干预措施之外,解决培训和资源限制至关重要.
- 结果为LMICs提供了洞察力,以制定定制策略来改善癌症查.
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