影响老年医疗补助人员常规癌症查的提供者和组织因素

相关实验视频

Updated: Sep 9, 2025

08:47

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

12.9K

Adriana Corredor-Waldron¹, Ann M Nguyen², Jose Nova²

¹Department of Economics, North Carolina State University, Raleigh, North Carolina, USA.

Health services research

|August 29, 2025

概括

医疗补助的老年人常规癌症查受到提供者特征和实践规模的影响,特别是在COVID-19大流行期间. 更大的诊所和特定的提供者,如妇产科医生, 帮助维持某些癌症的查率.

科学领域:

公共卫生
医疗服务研究
癌症学

背景情况:

老年人癌症查率对于早期发现和改善结果至关重要.
由于COVID-19大流行,日常医疗保健面临重大挑战,可能会破坏癌症查服务.
了解提供者和组织因素如何影响查对于维持获得护理至关重要.

研究的目的:

分析提供者和组织因素之间的关联以及老年医疗补助注册人的常规癌症查.
为了比较COVID-19大流行前和期间的查率.
识别在脆弱人群中促进或阻碍癌症查的因素.

主要方法:

对50至75岁的新泽西州医疗补助计划入学者的疫情前 (2018/2019) 和疫情 (2020/2021) 队列的分析.
利用线性概率模型评估提供者和组织特征对乳腺,宫,结肠直肠和肺癌查的影响.
通过链接索赔和提供者数据对受试者的人口统计,临床因素和地理变量进行了控制.

主要成果:

在疫情期间,较高的患者组规模与乳腺癌,宫癌和肺癌查增加有关.
即使在疫情期间,产科医生-妇科医生服务也与更高的乳腺癌和宫癌查率有关.
女性提供者改善了女性入学者的乳腺癌,宫癌和结直肠癌查率;老年提供者 (62岁以上) 与2021年低肺癌查相关.

结论:

在大流行期间,大型群体实践有效地维持了乳腺癌和子宫癌查,结直肠癌和肺癌的结果各不相同.
提供者性别和专业程度显著影响了癌症查率.
战略应侧重于支持大型实践,并解决小型实践中的障碍,以加强癌症预防,特别是在卫生危机期间.

关键词:

服务的获取/需求/使用老龄化/老年人/老年人医疗保健机构和系统促进健康/预防/查医疗补助

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