缩小距离:一种定性研究,以确定农村甲状腺癌治疗的公平创新
Hattie H Huston-Paterson1,2,3, Yifan V Mao4, Elena G Hughes1
1Section of Endocrine Surgery, Department of Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
The American surgeon
|December 11, 2024
概括
农村外科医生希望提供全面的甲状腺癌护理,但面临诸如有限的内分泌学接入等挑战. 与城市卫生系统连接和使用远程医疗可以改善农村甲状腺癌患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 农村卫生 农村卫生
- 手术护理 手术护理
背景情况:
- 与城市人口相比,农村地区的患者面临着更糟糕的甲状腺癌结果.
- 在农村和城市环境之间,甲状腺癌护理的差异仍然存在.
- 了解农村外科医生的观点对于制定有针对性的干预措施至关重要.
研究的目的:
- 确定切实可行的策略,以减轻农村地区的甲状腺癌护理差异.
- 探索农村医院在治疗甲状腺癌方面的优势和弱点.
- 收集农村外科医生对改善当地癌症护理的见解.
主要方法:
- 定性研究,涉及与农村一般和头部外科医生进行半结构面试.
- 参与者来自美国各州和纽芬兰的临界接入医院.
- 数据分析采用混合方法的定性分析来确定关键主题.
主要成果:
- 13名农村外科医生参加了这次活动,他们的奖学金培训和每年甲状腺切除手术数量各不相同.
- 外科医生对他们的培训表示信心,但强调了挑战:内分泌学访问有限,缺乏继续教育和专业隔离.
- 远程医疗,大学卫生系统连接和同行协作被确定为有价值的资产.
结论:
- 改善对内分泌学专家的准入是农村甲状腺癌护理的关键建议.
- 对于农村医疗保健提供者来说,需要关于甲状腺癌管理的教育倡议.
- 促进农村和城市外科医生的合作可以减少专业隔离,提高护理质量.
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