如何过渡到原发性人类乳头瘤病毒查影响结肠镜服务? 来自澳大利亚国家计划的教训
Chloe J Jennett1, Megan A Smith1, Dorothy A Machalek
1The Daffodil Centre, The University of Sydney, a Joint Venture with Cancer Council NSW, Sydney, New South Wales, Australia.
Journal of lower genital tract disease
|December 20, 2024
概括
澳大利亚 澳大利亚 澳大利亚
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 澳大利亚于2017年过渡到其国家宫查计划.
- 该计划从每2年一次的细胞检测转变为每5年一次的原发性人类乳头瘤病毒 (HPV) 检测.
- 为了收集见解,启动了更新实施和经验研究 (STORIES) 的利益相关者意见.
研究的目的:
- 评估利益相关者对实施更新的国家宫部查计划的观点.
- 评估在过渡到基于HPV的查期间对结肠镜检查服务的经验.
主要方法:
- 与关键利益相关者进行了定性半结构面试.
- 面试发生在过渡后11-20个月,通过面对面,在线或电话进行.
- 使用Proctor的实施结果框架,对Colposcopy服务数据进行了主题分析.
主要成果:
- 四个主题出现了:不遵守指南,缺乏准备,意外后果和缓解策略.
- 观察到镜转诊的增加,但分布不公平.
- 转诊问题与基于症状的测试的混乱或过度使用有关.
结论:
- 这项研究提供了首次基于利益相关者对细胞学到HPV查过渡期间的结肠镜检查服务的评估.
- 有效的过渡需要有力的利益相关者沟通,明确的指导方针 (特别是症状),以及适当的镜服务资源.
- 确保公平和及时地获得镜检查对于成功实施方案至关重要.
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