初级保健提供者的经验和对个性化乳腺癌查风险沟通的满意度:一项描述性的横截面研究
Arian Omeranovic1, Julie Lapointe1, Philippe Fortier1
1Oncology Division, CHU de Québec-Université Laval Research Center, Hopital du Saint-Sacrement, Québec, Québec, Canada.
BMJ open
|May 2, 2025
概括
初级保健提供者 (PCP) 通常支持基于风险的乳腺癌 (BC) 查方法,并对风险沟通文件感到满意. 实施需要解决PCP的工作量和培训需求.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 主要护理医学 医疗保健
背景情况:
- 基于风险的乳腺癌查提供了个性化的预防策略.
- 对初级保健提供者 (PCP) 进行风险评估和查计划的有效沟通对于成功实施至关重要.
- 预防和早期发现乳腺癌的个性化风险评估:整合和实施 (PERSPECTIVE I&I) 项目旨在整合基于风险的BC查.
研究的目的:
- 评估初级保健提供者 (PCP) 的经验和对有关乳腺癌 (BC) 风险评估和查行动计划的风险沟通文件的满意度.
- 测量PCP熟悉并接受基于风险的BC查方法.
主要方法:
- 一项描述性的横截面研究调查了加拿大北克的168名PCP,在收到患者风险沟通文件后1-4个月.
- 该调查评估了PCP的经验,满意度,理解和同意基于风险的BC查方法和行动计划.
- 对有关材料简化,工作量和培训需求的开放式问题的答案进行了内容分析.
主要成果:
- 大多数PCP (86%) 同意并会推基于风险的BC查方法.
- 大多数PCP理解所提供的信息 (92%),并同意拟议的查行动计划 (89%).
- PCP强调需要简化材料,承认潜在的工作量增加,并强调专业培训的必要性.
结论:
- PCP对基于风险的BC查表现出积极的态度,并对沟通材料感到满意.
- 在加拿大,成功地在人口层面实施,类似于PERSPECTIVE I&I项目,很可能在PCP支持下是可行的.
- 解决PCP对培训和工作负载的担忧对于基于风险的BC查的广泛采用至关重要.
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