在军事卫生系统内,与乳腺癌和宫癌查相关的个人和流域因素
Joel E Segel1,2,3, Alison Chetlen4, Mark Ramos1
1Department of Health Policy and Administration, Penn State University, University Park, PA 16802, USA.
Military medicine
|November 28, 2024
概括
乳腺癌和子宫癌查率在军事卫生系统 (MHS) 内有所不同. 年龄,婚姻状况和护理服务等因素影响查,有可能减少差异.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 通过查早期发现乳腺癌和宫癌可以提高患者的生存率.
- 军事卫生系统 (MHS) 中的查率呈现出变化.
- 了解这些变异是优化MHS癌症护理的关键.
研究的目的:
- 确定与MHS中乳腺癌和宫癌查率相关的个人层面和流域层面的因素.
- 分析乳腺癌和宫癌查的变化.
- 为提高MHS内的癌症查策略提供信息.
主要方法:
- 使用的2007-2019年MHS数据库数据.
- 研究了查率与人口,军事和医疗保健利用因素之间的关联.
- 采用单变量和多变量统计分析.
主要成果:
- 观察到的一年乳房扫描查率为45.6%,两年查率为65.7%.
- 观察到的一年帕普检测率为30.5%,两年率为51.9%.
- 老年,已婚个人,高级职位和非西班牙裔黑人女性的乳腺癌查率更高;年轻,未婚,初级职位和非西班牙裔黑人女性的宫癌查率更高. 在有更多私营部门护理的地区,两者的比例都更高.
结论:
- 在购买医疗服务较多的地区进行更高水平的查需要进一步调查.
- 与乳腺癌和宫癌查相关的个体因素有所不同,这表明了量身定制的政策.
- 像普遍覆盖率这样的MHS特征可能会减少查中的种族/民族差异.
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