共同设计一项以一般实践为主导的干预和实施战略,通过一般实践增加肠癌查:一项定性研究
Stephanie Walker1, Kelera Levu1, Melissa Tran2
1The Daffodil Centre, The University of Sydney, and Cancer Council NSW, Sydney, Australia.
BMC primary care
|November 1, 2025
概括
一般实践可以通过加强其在国家肠癌查计划 (NBCSP) 中的作用来改善结肠直肠癌 (CRC) 查. 如果解决实施挑战,多元件干预是可行的.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠直肠癌 (CRC) 查对于减少疾病负担至关重要.
- 一般实践的参与显著改善了查的普及率和结果.
- 国家肠癌查计划 (NBCSP) 旨在提高CRC查率.
研究的目的:
- 探索澳大利亚一般实践利益相关者目前对NBCSP的参与.
- 评估利益相关者的观点,以证据为基础的干预措施的可行性和适用性,以支持CRC查.
主要方法:
- 使用12个焦点小组和45名参与者 (全科医生,实践护士,工作人员) 的定性研究.
- 基于实施研究综合框架 (CFIR) 的分析指导.
主要成果:
- 医生参与NBCSP受到系统限制,时间和竞争优先事项的阻碍.
- 利益相关者愿意支持查,但不优先考虑NBCSP.
- 如果解决实施障碍,则被认为可以进行多组件干预 (风险评估,提醒,系统/工作流程改进,教育).
结论:
- 一般实践的利益相关者认识到他们有潜力加强NBCSP的支持并减少CRC的影响.
- 可以接受以一般实践为主导的干预,以促进增强作用.
- 干预成功需要整合,简单,时间效率,激励和整体实践方法.
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