妇女预防服务倡议关于平均风险妇女乳腺癌查和乳腺癌和宫癌查患者导航服务的建议
Catherine T Witkop1, Carla Picardo, Alexis Vosooney
1Departments of Preventive Medicine and Gynecologic Surgery & Obstetrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, and the American College of Physicians, Philadelphia, Pennsylvania; the Alina Health Group-West St. Paul Clinic, West St. Paul, Minnesota; the Department of Health Systems Science, Kaiser Permanente School of Medicine, Pasadena, the University of Southern California Keck School of Medicine and the Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, and KFF (formerly the Kaiser Family Foundation), San Francisco, California; the Departments of Medicine, Family Medicine, and Obstetrics & and Gynecology, Oregon Health & Science University School of Medicine, Portland, Oregon; the American College of Obstetricians and Gynecologists, the National Women's Law Center, the National Partnership for Women & Families, and the National Association of Nurse Practitioners in Women's Health, Washington, DC; the College of Nursing and Health, Loyola University New Orleans, New Orleans, Louisiana; the Department of Obstetrics, Gynecology & Women's Health, Saint Louis University School of Medicine, St. Louis, Missouri; the Division of Geriatrics, University of Utah, Salt Lake City, Utah; the Department of Obstetrics & Gynecology, Columbia University Irving Medical Center, New York, New York; the Department of Community and Family Medicine, Duke University Medical Center, Durham, and the Division of General Internal Medicine and Epidemiology, Department of Medicine, UNC School of Medicine, Chapel Hill, North Carolina; the Office of the President, University of Arizona, Tucson, Arizona; and the American Academy of Family Physicians, Leawood, Kansas.
妇女预防服务倡议 (WPSI) 更新了乳腺癌查指南,建议40-50岁的女性进行乳房造影,并引入患者导航服务,以改善查和随访护理的准入.
科学领域:
- 预防医学 预防医学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 妇女预防服务倡议 (WPSI) 曾建议40-50岁的平均风险女性进行乳房检查.
- 在保险覆盖的差距被确定为一个障碍,在异常的乳房图片后完成后续的障碍.
- 自上次更新以来,没有发现乳房扫描查的益处和危害的新证据.
研究的目的:
- 更新2016年乳腺癌查建议书.
- 引入患者导航服务,以提高乳腺癌和宫癌查利用率和后续情况.
- 改善癌症查服务的获取和公平.
主要方法:
- 审查了乳腺癌查建议的现有证据.
- 评估了42个随机对照试验,用于癌症查和随访的患者导航服务.
- 结合了关于保险覆盖缺口及其对查完成的影响的调查结果.
主要成果:
- 没有新的证据需要改变现有的乳房镜查指南 (在40-50岁之间开始,至少持续到74岁).
- 与通常护理相比,患者导航服务显示了查和随访率的增加.
- 患者导航涉及个性化,人对人对医疗保健准入和系统导航的支持.
结论:
- 更新的建议旨在扩大乳腺癌查后续行动,改善获得和公平.
- 建议提供患者导航服务,以解决查完成的障碍.
- 这些服务将在2026年开始,根据"负担得起的医疗法案" (Affordable Care Act) 无需共同支付.
相关概念视频
Preventive Healthcare Services
Cancer Prevention
Some...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Cancer Survival Analysis
Cancer Vaccines
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...


