结肠直肠癌查的障碍和促进因素:提供者的观点
Assim AlAbdulKader1, Abdulelah H Almansour1, Ahmed Abdulwahab2
1Family and Community Medicine Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Asian Pacific journal of cancer prevention : APJCP
|December 29, 2024
概括
医疗保健提供者确定了对结直肠癌查的系统和患者障碍. 通过宣传活动和改善沟通来解决这些问题,可以提高查率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 结肠直肠癌是全球和沙特阿拉伯癌症死亡的主要原因.
- 全球发病率的增加与高收入国家由于查导致的发病率下降形成鲜明对比.
- 有效的查计划对于减少结肠直肠癌负担至关重要.
研究的目的:
- 确定结直肠癌查利用的促进者和障碍者.
- 从医疗保健提供者的角度探索这些因素.
主要方法:
- 使用半结构面试进行的定性研究.
- 在沙特阿拉伯东部省的Dammam,Al-Khobar和Al-Qatif进行.
- 涉及40名参与者,包括初级保健医生,胃肠科医生和结直肠外科医生.
主要成果:
- 系统障碍:缺乏查方法 (FIT测试,内镜),患者负担很高,没有国家计划.
- 患者的障碍:不愿意,恐惧,意识低,社会文化因素,不便.
- 促进者:可访问的指导方针,医院间合作,女性内镜医生,家族病史,胃肠道症状,高等教育.
结论:
- 医疗保健系统的变化和公众意识对于改善结直肠癌查至关重要.
- 有效的患者-提供者沟通策略可以克服个人障碍.
- 提高查率需要采用多方面的方法,既要考虑系统因素,又要考虑患者因素.
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