评估乳腺癌查的提供者知识和实践:识别信息化转诊的差距和障碍
Melissa Reichman1, Ava Tsapatsaris2, David Jaramillo Gil1
1Weill Cornell Medicine at New York-Presbyterian Hospital, 525 East 68(th) Street, New York, NY 10065, United States of America.
Clinical imaging
|July 24, 2025
概括
初级保健提供者在高风险乳腺癌查方面表现出各种各样的知识. 时间和知识差距阻碍了有效的风险评估和成像建议.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 主要护理医学 医疗保健
背景情况:
- 乳腺癌风险评估对于早期检测至关重要.
- 初级保健提供者 (PCP) 在实施查指南方面发挥着至关重要的作用.
- PCP知识的变化可能会影响患者的治疗结果.
研究的目的:
- 评估PCP关于高风险乳腺癌查成像建议的知识和实践.
- 确定PCP在实施及时乳腺癌查方面所面临的障碍.
- 评估PCP对乳腺癌查方法的偏好.
主要方法:
- 一个匿名的10个问题调查通过电子邮件发送给PCP.
- 该调查评估了对查指南,转诊实践,障碍和查偏好的知识.
- 响应被汇总并被描述性地分析.
主要成果:
- 实现了23.3%的响应率 (49/210).
- 受访者对高风险患者 (MRI,乳房影像,超声波,遗传检测) 适当成像的知识有所变化.
- 确定的主要障碍包括时间限制 (20%),成本 (18%) 和缺乏知识 (18%).
结论:
- 对于高风险乳腺癌查的PCP实践因专业而异.
- 时间限制和知识不足是有效评估乳腺癌风险的主要障碍.
- 提供者教育对于改善对最佳成像建议的遵守至关重要.
相关概念视频
Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.7K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.7K
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.9K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.9K
Preventive Healthcare Services
1.1K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K
Nursing Evaluation
3.6K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.6K
Cancer Survival Analysis
456
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
456


