非医疗服务提供者在增加子宫检查的作用:范围审查
Monjura Nisha1, Deborah Bateson2, Marion Saville3
1Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia monjura.nisha@sydney.edu.au.
BMJ global health
|August 31, 2025
概括
非医疗服务提供者 (NMP) 显著增加了宫查参与率,特别是在服务不足的群体中. 他们的参与,特别是自我抽样,提高了对查计划的准入和公平性.
科学领域:
- 公共卫生
- 预防医学
- 医疗服务研究
背景情况:
- 非医疗服务提供者 (NMP) 提供了一种潜在的策略,以提高服务不足群体的宫检查率.
- 进行了范围审查,以探讨NMP在增强宫查参与中的作用.
研究的目的:
- 审查和综合有关NMP在宫查干预的现有文献.
- 评估NMP领导的宫查计划的可行性,可接受性和影响.
主要方法:
- 在MEDLINE,EMBASE和CINAHL数据库中进行了全面的文献搜索.
- 在2016年至2024年间发表的相关科学文章被确定并使用标准化工具提取数据.
- 包括12项随机对照试验和23项非随机对照试验在不同的全球环境中.
主要成果:
- 包括社区卫生工作者,护士和助产士在内的NMP参与了对目标人群的查,教育和促进.
- 与标准治疗相比,NMP辅助的干预表明宫查的吸收率增加,RCT中发现了显著的改善.
- 通过NMP促进的自我采样显示出高吸收率,在RCT中为32. 0%至81. 0%,在非RCT中为9. 0%至100%.
- 主要成功的策略包括NMP培训和针对未受选妇女的宣传.
结论:
- 非医疗服务提供者在增加宫查参与方面发挥着至关重要的作用,特别是在未得到查的人群中.
- 参与NMP,特别是与自我采样相结合,有很大的潜力改善宫癌查的准入和公平性.
- 能力建设和战略宣传对于在公共卫生干预中最大限度地发挥国家计划的影响至关重要.
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