PRECEDE-PROCEED模型审计对伦巴第地区癌症查计划的影响:支持公平和质量改善
Stefano Odelli1,2, Margherita Zeduri1,3, Maria Rosa Schivardi1
1General Directorate of Welfare of the Lombardy Region, 20124 Milan, Italy.
Current oncology (Toronto, Ont.)
|October 25, 2024
概括
使用PRECEDE-PROCEED模型进行的系统审计改善了伦巴第的癌症查质量和公平性. 持续关注数字工具,培训和有针对性的干预措施是预防癌症持续进展的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 预防癌症 预防癌症
背景情况:
- 社会经济因素对获得预防性医疗保健有很大影响,造成健康差距.
- 预先处理模式提供了一个框架,以解决健康促进中的这些差异.
- 调整 PRECEDE-PROCEED 模型的目的是优化意大利伦巴第省的癌症查计划.
研究的目的:
- 评估基于PRECEDE-PROCEED模型的系统审计在加强癌症查计划方面的有效性.
- 确定区域癌症查倡议的优势和弱点.
- 引导改善癌症查的质量,覆盖范围和公平性.
主要方法:
- 2019年进行了系统的区域范围的审计,并在2022-2023年进行了修订.
- 数据收集涉及结构化的方法,包括流行病学,行为和组织评估.
- 审计框架和分析的指导是"前进-前进"模型.
主要成果:
- 最初的审计显示了强大的参与和质量,但强调了宫癌查覆盖率和等待时间的问题.
- 随后的审计显示,乳腺癌和结肠直肠癌查的覆盖率增加.
- 尽管有组织改进,但在培训和以公平为重点的行动方面仍然存在挑战,参与率略有下降.
结论:
- 应用PRECEDE-PROCEED模型的审计表明,癌症查计划的质量和公平性得到了显著改善.
- 数字化整合和利益相关者参与被认为是提高流程的关键.
- 建议持续努力进行持续的再培训和有针对性的公平干预,以实现未来的进展.
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