一个多元组件的行为改变和实施策略,以增加肺癌查在初级保健实践:IBREATHE研究
Lauren K Groner1, Katja Reuter2, Nathalie Moise3
1Department of Radiology, Weill Cornell Medicine, New York, New York; Community Outreach and Engagement Liaison, Sandra and Edward Meyer Cancer Center Cancer Prevention and Control Program, Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, New York.
Journal of the American College of Radiology : JACR
|March 5, 2025
概括
低肺癌查 (LCS) 的普及是一个挑战. 一个由放射科医生领导的战略,利用行为科学,确定了初级保健障碍,并开发了一种多元组件方法来提高LCS率.
科学领域:
- 实施科学 实施科学
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 尽管根据2021年指南扩大了资格,但国家肺癌查 (LCS) 的采用率仍然很低,约为16%.
- 初级保健机构在实施符合指南的LCS时面临着独特的挑战.
研究的目的:
- 在初级保健中确定LCS的障碍.
- 制定基于理论的战略,以提高LCS的普及率.
主要方法:
- 一种多阶段的方法,包括定性方法和建立的行为和实施科学框架.
- 利用行为变化轮,COM-B模型,TDF和ERIC来分析障碍.
主要成果:
- 确定了五个关键的障碍主题:保险事先授权,患者心理社会因素,提供者与患者的沟通,初级保健实践文化和患者的随访.
- 障碍影响提供者的能力,机会和动机.
- 开发了LungCheck多组件战略,包括教育,实施蓝图,导航器,计算器和EHR优化.
结论:
- 使用行为和实施科学解决LCS障碍和改善吸收的路线图.
- 放射科医生驱动的策略有可能增加LCS率,并作为其他预防性举措的典范.
- 多元组件战略将在试点研究中进行评估.
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