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在美国东南部的两个卫生系统中,肺癌查利用的差异
Soumya J Niranjan1, Desiree Rivers2, Rekha Ramachandran3
1Department of Health Services Administration, Birmingham, USA. Soumya14@uab.edu.
Cancer causes & control : CCC
|October 14, 2024
概括
低剂量计算机断层扫描 (LDCT) 肺癌查的普及在阿拉巴马州和乔治亚州是有限的,特别是在某些人口群体中. 需要有针对性的干预措施来改善获取和减少符合条件的人口之间的差异.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌仍然是阿拉巴马州和乔治亚州癌症死亡的主要原因,在服务不足的人群中,高发病率与吸烟有关.
- 低剂量计算机断层扫描 (LDCT) 肺癌查已被证明可以降低死亡率,但吸收率有很大差异.
- 了解这些高风险州的查实践对于改善公共卫生结果至关重要.
研究的目的:
- 确定接受肺癌查的患者的社会人口统计和临床特征.
- 为了比较阿拉巴马州的学术医学中心 (AMC) 和乔治亚州的安全网医院 (SNH) 的查实践.
- 确定影响符合条件的个体接受肺癌查的因素.
主要方法:
- 一项回顾性队列研究分析了2015-2020年在AMC和SNH的电子健康记录.
- 奇方位和学生t测试通过人口统计和临床变量对查吸收进行了比较.
- 双变量和多变量后勤回归确定了肺癌查吸收的显著预测因素.
主要成果:
- 在AMC,活跃的烟草使用者比前吸烟者更容易接受查. 随着离医院的距离和年龄的增加,查减少了,但随着并发病和某些保险类型的增加,查增加了.
- 在SNH,增加的并发症和公共保险与更高的查率有关.
- 根据患者特征和接近查中心的情况,观察到肺癌查率的显著差异.
结论:
- 肺癌查还没有达到所有符合条件的子组,这表明需要有针对性的宣传工作.
- 在查准入方面存在差异,特别是对于居住在离查机构更远的地方的人来说.
- 需要进一步的研究和干预,以提高肺癌查的公平性和有效性.
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