在学术初级保健实践中改善复杂患者对结直肠癌查的采用:可行性研究
Charlotte Desponds1, Cyril Ducros1, Carine Rochat1
1University Center for Primary Care and Public Health, University of Lausanne, Lausanne, Vaud, Switzerland.
BMJ open quality
|August 29, 2024
概括
对于结直肠癌 (CRC) 查中的复杂患者的患者导航是资源密集的,并显示出最小的影响. 新的战略和专门的导航角色对于改善CRC查率在服务不足的人群中至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 预防医学 预防医学
背景情况:
- 结肠直肠癌 (CRC) 查显著降低了死亡率.
- 瑞士沃德的一个区域查计划提供便免疫化学测试 (FIT) 或结肠镜检查.
- 低参与率,特别是复杂患者中,阻碍了查的有效性.
研究的目的:
- 评估医疗助理对复杂患者的患者导航的可行性.
- 评估患者导航对CRC查参与的影响.
主要方法:
- 在一个学术初级保健实践中进行了可行性研究.
- 患者导航干预 (面对面和电话) 由一名医生研究员进行试点,由医疗助理进行.
- 收集的数据包括干预参与,查接受/完成以及患者/医疗助理接受度.
主要成果:
- 由于安排问题,人身导航的参与率很低 (7%),50%完成了选.
- 所有患者都拒绝了电话导航的尝试.
- 更新患者的总体比例略有增加,从51%增加到56%.
结论:
- 患者导航方法资源密集,对整体参与的影响有限.
- 目前的模型对于增加复杂患者的CRC查可能是不可持续的.
- 需要新的方法和为病人导航者提供专门的报销.
相关概念视频
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
61
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
61
Endoscopic Procedures II: Colonoscopy
66
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
66


