西班牙裔患者报告了结肠镜检查的"不显示"因素,尽管有文化定制的患者导航程序
Kirby Walker1, Carl Winkler1, Victoria Baggio2
1Department of Surgery, Rhode Island, Roger Williams Medical Center, Boston University School of Medicine, Prior 4 Building 825 Chalkstone Ave, Providence, RI, 02908, USA.
财务限制是西班牙裔患者错过结肠镜检查的首要原因. 解决这些障碍对于改善这种人群中的结直肠癌查率至关重要.
科学领域:
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
- 健康差异 在健康上的差异
背景情况:
- 对结直肠癌 (CRC) 查的患者特异性障碍已得到充分记录.
- 很少有研究直接探讨患者对结肠镜检查不显示的观点.
- 这项研究侧重于西班牙裔患者在文化定制的患者导航计划 (CTPNP) 中.
研究的目的:
- 为了确定错过或取消结肠镜预约的原因.
- 了解CTPNP中西班牙裔个人的患者特定障碍.
- 为旨在改善CRC查遵守率的干预提供信息.
主要方法:
- 2016-2019年CTPNP中西班牙裔患者的观察研究.
- 与错过或取消预约的患者进行了半结构化采访.
- 分析结肠镜检查没有出现和取消的原因.
主要成果:
- 15%的西班牙裔患者 (n=104) 错过或取消了结肠镜检查.
- 最主要的原因是财务限制 (24%),其次是交通 (11.6%) 和对程序的恐惧 (8.6%).
- 18%的没有出现的患者无法联系.
结论:
- 对于西班牙裔患者来说,财务障碍是完成结肠镜检查的最大障碍.
- 共同支付和查与诊断结肠镜成本之间的区别带来了挑战.
- 罗德岛州的政策变化现在要求保险覆盖所有结肠直肠查类型.
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