一个基于系统的定性分析,探索在英国实施风险分层肠癌查的潜力
Sowmiya Moorthie1,2, Lily Taylor3, Rebecca Dennison3
1PHG Foundation, University of Cambridge, Cambridge, UK. sam71@medschl.cam.ac.uk.
BMC health services research
|February 10, 2025
概括
在肠癌查中实施风险分层需要就最佳方法达成共识. 解决系统障碍和不确定性对于程序改进和更广泛的采用至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 癌症查 癌症查
背景情况:
- 肠癌查中的风险分层正在讨论中,但在全球范围内尚未广泛实施.
- 本研究探讨了实施风险分层所必需的系统和程序因素.
研究的目的:
- 了解实施肠癌查风险分层所需的系统和程序方面.
- 确定障碍物和促进者,以便制定一个经过精心设计的风险分层查计划.
主要方法:
- 利用工程更好的护理框架进行主题分析.
- 在英格兰进行了半结构化采访,与11名参与肠癌查的利益相关者进行了半结构化采访.
主要成果:
- 利益相关者对风险分层表示热情,认为这对改善当前查有益.
- 一个重要的障碍是缺乏对最佳风险分层方法的共识.
- 关键考虑因素包括利益的证据,计划可行性 (数据,劳动力,可接受性,公平性) 和必要的系统调整 (沟通,同意,后续).
结论:
- 为了成功实施,必须解决系统层面的问题和未解决的不确定性.
- 为了确定证据缺口和值,在风险利用方面达成利益相关者的共识至关重要.
- 有机会通过利用现有基础设施和来自其他选计划的见解来设计最佳系统.
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