公共和医疗保健专业人士对风险分层肠道查的态度:使用信息漫画书进行定性研究
Hannah Miles1, Una Macleod1, David Weller2
1Hull York Medical School, University of Hull, Hull, UK.
概括
公众和医疗保健专业人员认为,基于风险的肠癌查是可以接受的,如果它在不减少低风险个体的查的情况下增强了当前的产品. 清晰的沟通对于成功实施至关重要.
科学领域:
- 公共卫生 公共卫生
- 癌症查 癌症查
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠直肠癌 (CRC) 查已经建立,人们对基于风险的方法越来越感兴趣,以提高效率和有效性.
- 这项英国的定性研究调查了公众和医疗保健专业人员 (HCP) 对基于风险的肠癌查的看法.
研究的目的:
- 探索公众和医疗保健工作者对英国实施基于风险的肠癌查的态度.
- 确定采用风险分层查策略的潜在障碍和促进者.
主要方法:
- 五个虚拟焦点小组与公众 (英格兰60-74岁,苏格兰50-74岁) 和医疗保健工作者 (n=12名公众,n=11名医疗保健工作者) 进行了讨论.
- 通过共同创建的信息漫画书来促进讨论,详细介绍了肠癌风险因素.
- 质量数据在转录后进行主题分析.
主要成果:
- 有共识认为,高风险人群需要更密集的查,但低风险人群不应该接受更少的查.
- 人们担心,如果风险因素过度强调,可能会对低风险人群造成不利影响.
- 愿意简化英国范围内的肠道查,并就当前公平计划的任何变化进行明确的沟通.
结论:
- 任何对肠道查计划的修改都应该增加,而不是减少所有风险级别的现有查规定.
- 公众和医疗保健工作人员的接受是至关重要的;不可接受的变化可能会降低查的普及率,并可能加剧健康不平等.
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