对医院医生进行定性访谈,以解决肺癌查问题
Brett C Bade1, Alex Makhnevich1, Katherine L Dauber-Decker2
1Northwell, New Hyde Park, NY, USA; Institute of Health System Science, Feinstein Institutes for Medical Research, Manhasset, NY, USA; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Current problems in diagnostic radiology
|August 20, 2024
概括
医院医生支持使用住院时间来寻找符合肺癌查 (LCS) 资格的患者. 在住院病房之外的一个专门团队应管理病人的鉴定和出院后的随后测试.
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:
- 美国的肺癌查率仍然低于最佳水平.
- 将查纳入医院护理是一个潜在的策略,以提高吸收率.
- 医院医生的观点对于在医疗保健系统中制定有效的查计划至关重要.
研究的目的:
- 探讨医院医生对利用住院治疗来确定符合LCS条件的患者的看法.
- 评估医院医生对LCS指南和当前实践的知识.
- 了解住院数据如何增强出院后的LCS.
主要方法:
- 在一个大型综合医疗保健系统内的两个医院的八名医院医生进行了定性采访.
- 半结构化问题侧重于查指南,吸烟史识别和利用住院数据.
- 对面试成绩单进行主题分析,以确定关键的观点和障碍.
主要成果:
- 医院医生表现出对一般查指南的认识,但在LCS指南知识方面存在差异.
- 在住院期间识别吸烟史是可行的,但不是始终优先考虑的.
- 医院医生表示支持专门的计划,以确定符合条件的患者,并促进退院后的LCS.
结论:
- 医院医生可以接受在住院期间对LCS的结构化计划.
- 一个专门的非住院团队是首选的管理LCS识别和后续.
- 需要系统层面的干预措施,通过利用住院患者的接触来提高LCS率.
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