在英格兰NHS肠癌查计划中的"虚拟"SSP评估诊所的定量分析
Claire Nickerson1, Suzanne Wright1, Lucy Pickering1
1NHS England London, Wellington House, 133-135 Waterloo Road, London SE1 8UG, UK.
Journal of public health (Oxford, England)
|January 31, 2025
概括
与传统的面对面预约相比,虚拟肠癌查诊所改善了预约遵守率和减少了等待时间. 尽管存在担忧,但虚拟评估在COVID-19大流行期间并没有对诊断测试质量产生负面影响.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在英格兰,肠癌查使用家庭测试套件,并转介到评估诊所进行进一步测试.
- 在COVID-19大流行期间,评估诊所从面对面转向虚拟 (电话/视频通话) 格式.
研究的目的:
- 评估虚拟与面对面评估诊所对关键肠癌查计划指标的影响.
- 评估在转移到虚拟诊所后的预约遵守,诊所吸收和等待时间的变化.
主要方法:
- 采用了前后研究设计.
- 分析了关键计划指标,比较了过渡前和过渡后的时期.
主要成果:
- 虚拟诊所表明约会变化减少和诊所吸收率更高.
- 在虚拟组中,观察到较短的时间到首次提供和首次参加诊所.
- 关于诊断测试质量下降,结肠镜转诊率较低,肠道准备质量较差的担忧没有得到数据的支持.
结论:
- 虚拟肠癌查诊所在维持或改善关键绩效指标方面显得有效.
- 转向虚拟诊所并没有对诊断质量产生负面影响,这与最初的临床预期相反.
- 建议进一步开发IT系统,以加强虚拟诊所管理和数据分析.
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