在有吸烟史的患者和初级保健提供者的肺癌查经验:一种定性研究
Sandra J Japuntich1,2, Nathalia Gutierrez Sacasa3, Sarah Cameron3
1Hennepin Healthcare Research Institute, 701 Park Ave., S9.303, Minneapolis, MN, 55415, USA. Sandra.Japuntich@hcmed.org.
BMC cancer
|August 12, 2025
概括
肺癌查 (LCS) 尽管有好处,但仍未得到充分利用. 患者的知识差距和系统障碍阻碍了吸收,需要改善共享决策和简化早期肺癌检测的转诊.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 使用低剂量CT的肺癌查 (LCS) 可以通过检测早期疾病来降低肺癌死亡率.
- 尽管已证明有好处,但LCS利用率仍然低于最佳水平,这表明患者和提供者因素影响吸收.
研究的目的:
- 识别和分类患者和提供者在肺癌查方面的经验.
- 确定导致LCS未充分利用的障碍.
主要方法:
- 一种混合方法的方法,结合了调查和对患者和初级保健医生的定性访谈.
- 采访成绩单的应用主题分析,以确定与LCS感知和经验相关的关键主题.
主要成果:
- 相当一部分符合条件的患者没有接受LCS,突出了指导标准和实际查率之间的差距.
- 关键主题揭示了患者对LCS知识低,提供者知识高,患者耐受性和提供者接受低剂量CT,提供者遵守保险指南,不一致的共享决策和系统推障碍.
- 系统性问题,包括转诊过程的复杂性,尽管患者感兴趣,但阻碍了LCS的接收.
结论:
- 肺癌查被患者容忍得很好,并受到提供者的重视.
- 增加LCS知识和普及需要进行系统变革,以加强共享决策,简化转诊,并实施护理导航,以克服患者的后勤障碍.
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