评估提供者对肺癌查的知识和障碍
Jeffrey J Quezada1, Axs R Avenido1, Stephanie Jia1
1Department of Radiological Sciences, University of California, Irvine, USA.
Cancer treatment and research communications
|November 22, 2024
概括
提供者对肺癌查 (LCS) 标准和电子健康记录 (EHR) 限制的知识差距阻碍了低剂量计算机断层扫描 (LDCT) 的使用. 改善提供者教育和EHR工具可以提高LCS率.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 使用低剂量计算机断层扫描 (LDCT) 的肺癌查降低了死亡率,但仍未得到充分利用.
- 初级保健和肺病医生的观点对于了解LCS障碍至关重要.
研究的目的:
- 评估初级保健和肺科提供者对LCS标准的知识.
- 为了确定订购LDCT用于肺癌查的障碍.
主要方法:
- 对32名南加州提供者 (肺病学,家庭医学,内科,老年医学) 进行了一项调查,他们照顾50岁以上的患者.
- 知识分数是基于9个与医疗保险和医疗补助服务中心 (CMS) 资格标准相关的问题来计算的.
主要成果:
- 没有提供商正确确定了所有CMS资格标准;平均知识分为6.6/9.
- 关键障碍包括不准确的吸烟史 (56.2%),缺乏患者从电子健康记录 (43.7%) 通知,以及对后续测试 (38.7%) 的成本担忧.
- 根据实践环境,培训水平或实践年限,知识分数没有显著变化.
结论:
- 提供者对LDCT标准的知识不足,导致肺癌查的利用不足.
- 建议加强提供者教育和改进EHR功能 (例如,吸烟史更新,患者资格通知) 来提高LCS率.
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