基于社区的远程医疗方法改善了低资源环境中患有癌症风险增加的个体获得专家的机会
Aksel Alp1, Winston Doud1, Christian Doud1
1Beckman Laser Institute and Medical Clinic, School of Medicine, University of California Irvine, Irvine, CA 92612, USA.
Cancers
|April 26, 2025
概括
远程医疗访问显著改善了在服务不足的人群中进行口腔癌查的专家推合规. 这种方法提供了一个有希望的解决方案,以克服低资源社区的障碍.
科学领域:
- 口腔健康 口腔健康
- 公共卫生 公共卫生
- 远程医疗远程医疗
背景情况:
- 低资源,少数群体和服务不足的人群 (LRMU) 面临着口腔癌 (OC) 早期检测和治疗的重大障碍.
- 对专家推的不良遵守是LRMU中OC不良结果的主要原因之一.
- 这项研究解决了在高风险LRMU个体中改善推合规的需要.
研究的目的:
- 为了比较远程医疗和面对面的访问之间的专家推合规对于口腔潜在恶性病变 (OPMLs) 的LRMU个人.
- 评估一个新的,低成本的远程医疗平台在改善获得专业护理的有效性.
主要方法:
- 一项前性研究涉及40名LRMU受试者,他们对OPMLs进行了查,结果呈阳性.
- 参与者可以在远程医疗或面对面的专家访问之间进行选择,并提供全面的支持.
- 使用基于社区诊所的远程医疗平台,对3个月的推遵守情况进行了跟踪.
主要成果:
- 远程医疗在1个月 (p = 0.0006) 和3个月 (p = 0.0154) 的推遵守率明显高于面对面访问.
- 在远程医疗组的24名受试者中,有16人参加了最初的预约,其中20/24人在3个月内完成了预约.
- 在面对面的小组中,16名受试者中只有7人参加了他们的初次访问,其中7/16人在3个月内遵守了规定.
结论:
- 一个新的,低成本的远程医疗平台显示了在低资源环境中增强专家推合规的潜力.
- 远程医疗可能是一个可行的策略,以减轻口腔癌护理获取和结果的差异.
- 改善专家推的遵守对于早期检测和高风险人群中更好的治疗结果至关重要.
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