在急诊室的不同数字健康方法之间比较癌症初级和二级预防文档
Sally K Stauder1, Shalmali R Borkar2, Anna Najor3
1Florida State University College of Medicine, Tallahassee, Florida, USA.
Women's health reports (New Rochelle, N.Y.)
|October 28, 2024
概括
紧急部门 (ED) 的调查显示,与电子健康记录 (EHR) 相比,逾期癌症查和人类乳头瘤病毒 (HPV) 疫苗接种率更高. 这突出了ED的特点.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 减少初级保健的机会和急诊室 (ED) 使用的增加可能会影响癌症查率.
- ED为癌症查干预提供了一个独特的机会,特别是在服务不足的人群中.
- 获得医疗保健的障碍可能导致癌症查流行率下降.
研究的目的:
- 为了比较ED管理的调查和电子健康记录 (EHR) 之间的癌症查和人类乳头瘤病毒 (HPV) 疫苗接种状态.
- 评估ED调查在识别需要预防性癌症查的个人的有效性.
主要方法:
- 在2022年7月,对ED的101名患者进行了调查.
- 收集了关于乳腺,宫和结直肠癌查以及HPV疫苗接种的数据.
- 调查数据与同一时期2934名ED患者的EHR数据进行了比较.
主要成果:
- 在自我报道的查 (调查) 和EHR数据之间发现了显著的差异 (p <0.001对所有).
- 过时的宫癌查:6.2% (调查) 与77.6% (EHR) 相比.
- 过时的乳腺癌查:14.3% (调查) 与73.4% (EHR) 相比.
- 过时的结直肠癌查:22.9% (调查) 与56.5% (EHR) 相比.
- 过期接种HPV疫苗:33.3% (调查) 与57.8% (EHR) 相比.
结论:
- 与EHR数据相比,ED调查数据更准确地反映了实际查率.
- 照顾点ED调查可能更好地识别需要预防性癌症查的个人.
- 这种方法对于面临常规医疗保健障碍的患者来说尤其有价值.
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