基于社区的肺癌查计划结构,质量和障碍:实施的斗争
Candice L Wilshire1, Kerrie E Buehler1, Claire A Henson1
1Department of Thoracic Surgery and Interventional Pulmonology, Swedish Medical Center, Seattle, Washington, USA.
Canadian respiratory journal
|March 31, 2025
概括
肺癌查计划 (LCSPs) 在结构和质量方面存在很大差异. 缺乏资源和推要素的不一致实施阻碍了有效的肺癌查 (LCS).
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
- 在瘤学瘤学.
背景情况:
- 对于肺癌查计划 (LCSPs) 已有已发表的建议.
- 通过和实施这些建议需要大量的资源.
- 在LCSP结构和质量的变化可能会影响查的有效性.
研究的目的:
- 评估LCSP中建议的结构和质量元素的存在.
- 在医疗保健网络中确定执行肺癌查 (LCS) 的障碍.
主要方法:
- 2018年6月至2020年7月期间进行的横截面研究.
- 采用了两个结构化采访:一个是LCSP导航员,一个是图像管理员.
- 评估LCSP的结构/质量要素以及LCS实施的障碍.
主要成果:
- 大多数LCSP (91%) 是分散的;很少有人使用标准化共享决策工具 (14%) 或多学科结节审查 (59%).
- 戒烟支持不一致,有45%的人采用标准程序,只有23%的人雇用经过认证的烟草治疗专家.
- 缺乏资源 (35%) 是实施LCSP的主要障碍,尽管许多网站有能力增加选订单 (61%).
结论:
- 在LCSP之间结构,质量和资源分配存在显著差异.
- 需要进一步的研究,以了解这种变异对结果,成本和患者体验的影响.
- 这些发现表明,在肺癌查方面,可能需要更严格的程序质量控制.
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