在德克萨斯州安全网卫生系统中实现公平的肺癌查实施
Michael Pignone1, Patrick Chang2, Nicole Kluz3
1Department of Medicine, Duke University School of Medicine, Durham, North Carolina; Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, Texas.
American journal of preventive medicine
|September 29, 2024
概括
联邦合格卫生中心 (FQHC) 的肺癌查计划展示了公平的实施. 导航者为中心的方法确保了多样化的群体成功完成低剂量CT扫描,改善了肺癌检测.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 健康 公平 卫生 公平
背景情况:
- 肺癌查计划对于早期检测至关重要.
- 联邦合格卫生中心 (FQHCs) 服务于多样化,服务不足的人群.
- 公平地实施查是必不可少的.
研究的目的:
- 开发和评估一个公平的肺癌查计划.
- 为了评估低剂量CT (LDCT) 完成率在FQHC中的人口统计学.
- 识别公平查的促进者和障碍者.
主要方法:
- 在德克萨斯州中部的一个FQHC中实施了以导航员为中心的程序.
- 55-77岁的有吸烟史的患者通过电子健康记录和外展进行了鉴定.
- 一名双语社会工作者促进了共享决策 (SDM),资格和选协调.
主要成果:
- 总体而言,83.0%的符合条件的患者完成了LDCT查.
- 没有根据年龄,性别,种族/种族或保险完成的显著差异.
- 西班牙语患者和前吸烟者更有可能完成LDCT.
结论:
- 一个以导航者为中心的计划实现了公平的肺癌查实施.
- 该计划成功地在FQHC中吸引了多样化的患者群体.
- 这个模型展示了在社区卫生环境中公平的癌症查的途径.
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