使用EPIC活动增加乳腺癌查完成政府保险和未保险妇女在社区设置
Glen Ellen Whitfield1, Brenda L Rooney2, Barbara A Bennie3
1Department of Medical Education, Gundersen Medical Foundation, La Crosse, Wisconsin.
概括
EPIC 运动改善了对无保险和医疗补助患者的查乳房图片的完成. 13%的逾期妇女完成了查,医疗补助计划的入学者的比例更高,受健康的社会决定因素的影响.
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
- 提高质量 提高质量
背景情况:
- 查性乳房造影对于早期发现乳腺癌至关重要.
- 为逾期查而接触到没有保险和医疗补助计划的人口仍然是一个挑战.
- 需要有针对性的外展倡议,以提高弱势群体的癌症查率.
研究的目的:
- 评估EPIC运动作为一种质量改善倡议,用于未保险和医疗补助患者逾期查乳房镜检查.
- 评估EPIC活动在患者接触和查完成方面的有效性.
- 在目标人群中确定与查乳房镜完成相关的因素.
主要方法:
- 利用EPIC活动来识别40-74岁的无保险和医疗补助妇女,她们已逾期接受乳房查.
- 通过首选方法 (患者门户,文本,邮政) 与符合条件的患者联系,并提供安排说明.
- 分析了6个月内查完成率,检查了人口统计,社区居住和健康的社会决定因素 (SDOH).
主要成果:
- 联系了5336名妇女;13% (701) 在6个月内完成了查性乳房扫描.
- 医疗补助 (15%) 与无保险 (6.4%) 患者的查完成率更高 (P < .001).
- 完成率因社区居住类型 (P = .031) 有显著差异,并受到SDOH的影响.
结论:
- EPIC 运动是EPIC EHR系统中的一个有效的,可定制的宣传工具,以增加乳腺癌查.
- 该倡议成功地提高了逾期无保险和医疗补助患者的查完成率.
- 健康的社会决定因素在查乳房扫描完成率方面发挥着重要作用.
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