制定一项战略,在需要的地区增加肺癌查
Garrett Melby1, Charnita Zeigler-Johnson2, Melissa Dicarlo3
1Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Population health management
|December 20, 2024
概括
通过识别高风险区域和培训初级保健提供者在共享决策 (SDM) 中,可以提高低肺癌查 (LCS) 率. 这一策略有效地让患者参与肺癌查.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 在瘤学瘤学.
背景情况:
- 在美国,肺癌查率仍然低于最佳水平,导致肺癌死亡率高.
- 识别服务不足的人群和吸引初级保健提供者对于改善LCS吸收至关重要.
研究的目的:
- 描述卫生系统战略,以确定需要改进肺癌查的领域.
- 为初级保健提供者制定和评估关于LCS的共享决策 (SDM) 的培训计划.
主要方法:
- 利用地理编码的标准化肺癌死亡率 (SMRs) 确定高死亡率的邮政编码.
- 采用电子医疗记录数据来识别服务于这些地区的初级保健实践.
- 开发并提供了一个在线,认可的SDM培训课程LCS,通过与实践领导者的采访提供信息.
主要成果:
- 确定了8个高SMR邮政编码和8个相关的初级保健实践.
- 为LCS患者教育和SDM提供者创建了一个免费的,在线的,认可的培训计划.
- 实践领导者采访强调需要激励提供者培训和SDM工具的采用.
结论:
- 卫生系统可以系统地识别LCS需求,并在SDM中培训提供者,以提高患者参与度.
- 需要进一步的研究来实施和评估这些策略对不同患者群体的影响.
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