2018-2021年国家乳腺癌和宫癌早期检测计划的资格和覆盖范围

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Florence K L Tangka¹, Kristy Kenney¹, Jacqueline Miller¹

¹Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.

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概括

国家乳腺和宫癌早期检测计划 (NBCCEDP) 服务于少数有资格的妇女,而COVID-19大流行期间乳腺癌查下降. 许多符合条件的妇女仍然没有接受乳腺癌和宫癌的查.

科学领域:

公共卫生公共卫生
癌症查癌症查
医疗保健服务研究医疗服务研究

背景情况:

国家乳腺癌和宫癌早期检测计划 (NBCCEDP) 旨在为低收入,无保险或保险不足的妇女提供关键的查和诊断服务.
了解NBCCEDP的覆盖范围和有效性对于改善贫困人口及时获得癌症检测服务的机会至关重要.

研究的目的:

估计有资格获得NBCCEDP服务的妇女人数,并确定这些有资格妇女中获得资助查和诊断服务的比例.
识别服务供应中的差异,并突出加强弱势群体查和诊断获取机会.

主要方法:

利用人口普查局的小区域医疗保险估计,根据年龄,收入和保险状况确定有资格妇女的数量.
使用程序服务数据计算了NBCCEDP服务的有资格妇女的百分比,按种族/种族和州分层.
采用了2019年国家健康访谈调查,以评估符合条件的妇女在乳腺癌和宫癌查中的比例.

主要成果:

在2018-2019年,NBCCEDP为15%的乳腺癌和5.6%的宫癌符合条件的妇女提供服务;到2020-2021年,这些数字分别为13.5%和5.9%.
乳腺癌查服务在2018-2019年和2020-2021年之间下降了1.5个百分点,而宫癌服务则略有增加了0.3个百分点.
在服务提供方面观察到州一级的显著差异,很大一部分符合条件的妇女没有接受查 (61.4%为乳腺,40.6%为宫).

结论:

通过NBCCEDP为符合条件的妇女提供乳腺和宫癌查服务,各州之间存在相当大的差异.
乳腺癌服务的下降与COVID-19大流行相吻合,这表明访问和利用的潜在中断.
在确保符合条件的妇女接受推的乳腺癌和宫癌查方面,仍然存在很大的差距,这强调了需要改进计划和有针对性的干预措施的需要.

关键词:

乳腺新生体的形成.早期发现癌症的早期发现乳房学乳房学乳房学没有医疗保险的医疗保险人.国家乳腺和宫癌早期检测计划帕帕尼科拉的测试.

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