通过初级保健参与改善全国肠道查参与:质量改善报告
John McMenamin1, Susan Parry2, Bronwyn Rendle2
1Health and Research Collaborative Whanganui, New Zealand.
在新西兰,初级保健活动显著增加了肠癌查套件的要求. 然而,改善便免疫化学测试 (FIT) 套件回报率需要进一步的策略来促进参与,特别是对于毛利和太平洋人民.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 健康 公平 卫生 公平
背景情况:
- 新西兰国家肠道查计划 (NBSP) 旨在减少肠癌死亡率.
- 在毛利人和太平洋人民中,参与NBSP的比例较低.
- 在2023-2024年实施了以初级保健为主导的运动,以改善查参与度.
研究的目的:
- 评估初级保健主导运动对肠癌查采用的影响.
- 在一般实践中确定改善查过程的挑战和机会.
- 评估定制材料和支持工具的有效性.
主要方法:
- 实施以初级保健为主导的支持一般实践的运动.
- 提供量身定制的材料和实践支持工具.
- 监测便免疫化学测试 (FIT) 套件请求和返回率.
主要成果:
- 活动吸引了大量的新西兰实践,包括非常低成本接入 (VLCA) 诊所.
- 在两年内,FIT套件请求的数量增加了一倍以上.
- FIT套件回报率保持温和,表明需要加强后续行动.
结论:
- 结构化的初级保健干预措施可以增加肠癌查的普及率,特别是在公平优先级群体中.
- 持续改进需要系统整合和对实践和社区的持续支持.
- 需要进一步的战略来提高FIT套件完成率.
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