选择:在一个大型城市卫生系统中进行全面和协调的结肠直肠癌查计划
Emma Ghalili1, Tsion Tmariam1, Parth D Trivedi1,2
1Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Health services research
|April 28, 2025
概括
通过整合患者导航和EMR优化,CHOICE计划改善了结直肠癌 (CRC) 查. 这一举措实现了79%的结肠镜完成率,证明了其在提高CRC查率方面的有效性.
科学领域:
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
- 卫生系统管理管理卫生系统管理
背景情况:
- 在许多医疗保健系统中,结肠直肠癌 (CRC) 查率和诊断结肠镜检查的完成率仍然不足于最佳水平.
- 需要有效的策略来改善对CRC查协议的遵守,并减少护理方面的差异.
研究的目的:
- 在一个大型城市学术卫生系统内实施和评估一个协调的结肠直肠癌 (CRC) 查计划.
- 主要目标是提高全系统查率,减少患者没有出现,改善结肠镜检查的完成.
主要方法:
- 选择计划采用了多方面的方法,包括患者导航,电子病历 (EMR) 优化和标准化的全系统实践变化.
- 关键组成部分包括提供者和患者教育,协议标准化,增强导航员外展和简化调度流程.
- 该研究针对45-75岁的平均CRC风险的卫生系统患者,评估结肠镜完成率.
主要成果:
- 在2年的时间里 (2022年3月至2024年2月),有18119名患者被转介到CHOICE计划中.
- 该计划在预定患者中实现了79%的结肠镜完成率.
- 选择计划成功地在一个大型卫生系统中标准化和运行了CRC查工作.
结论:
- 选择计划展示了一个成功的模式,通过综合干预来提高结直肠癌查完成率.
- 该计划的标准化方法为其他寻求改善CRC查结果的卫生系统提供了一个可扩展的模板.
- 实施这些协调的计划对于改善人口健康和减少结直肠癌的负担至关重要.
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