通过实施召回系统,提高中年成年人查结肠镜检查率
Gypsy Glover1,2,3, Jennifer Wilson1,2,3, Felicia Renales1,2,3
1Gypsy Glover, DNP, ARNP, FNP-C, Board Certified Family Nurse Practitioner, American Academy of Nurse Practitioners Credentialing Center; Licensed Advanced Practice Registered Nurse, State of Alabama; and Advanced Practice Provider, Gastroenterology Department, Affiliated and employed currently full-time at Digestive Health Specialists of the Southeast, Dothan, Alabama.
中年成年人的低查结肠镜率通过召回系统得到改善. 实施电话和信件在三个月内将完成的结肠镜检查增加了60%.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 全球中年成人结肠癌发病率正在上升.
- 查结肠镜率正在下降,特别是在这个人口群体中.
- 由于沟通缺口,很大一部分中年成年人没有了解推的查结肠镜检查的最新情况.
研究的目的:
- 提高中年成年人监测结肠镜检查率.
- 改善医疗保健提供者和患者之间关于结肠癌查的沟通策略.
主要方法:
- 通过电子图表审查,确定了符合条件的中年患者,他们应在阿拉巴马州东南部胃肠病诊所接受查结肠镜检查.
- 参与者收到了两次提醒电话和一封邮寄信,详细说明了查和安排机会的重要性.
- 进行了干预前后的图表审计,以评估完成结肠镜率的变化.
主要成果:
- 在干预后三个月内,完成结肠镜检查率增加了60%.
- 结合电话和邮件召回系统在提高患者遵守查建议方面被证明是有效的.
结论:
- 实施有针对性的电话和邮件召回系统是提高中年成年人查结肠镜检查率的成功策略.
- 通过积极的外展来解决沟通障碍,可以显著改善参与必要的癌症查程序.
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