结肠直肠癌查推广的定性结果,使用患者导航在农村初级保健实践中跟踪结肠镜检查
Emily Myers1, Jennifer Coury1, Maryan Carbuccia-Abbott1
1Oregon Rural Practice-Based Research Network, Oregon Health & Science University, Portland, OR 97239, USA.
Cancers
|November 13, 2025
概括
在农村Medicaid人口中,对结肠直肠癌 (CRC) 查的患者导航遇到了诸如人员配置和有限的结肠镜检查等障碍. 未来的模型应该专注于集中,系统级干预,以获得更好的结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 在美国,结肠直肠癌 (CRC) 查率仍然低于最佳水平.
- 患者导航可以克服完成CRC查的障碍.
- 关于患者导航的现有研究主要集中在城市环境,可能会忽视农村人口.
研究的目的:
- 评估一个患者导航计划,以改善农村医疗补助人口的CRC查.
- 探索农村初级保健机构内患者导航的障碍,促进者,可行性和可接受性.
主要方法:
- 一项实用性研究,结合了定性和实施数据.
- 数据来源包括采访,合同日志和跟踪系统.
- 专注于诊所工作人员提供的患者导航.
主要成果:
- 只有57%的干预诊所有符合条件的患者.
- 在FIT测试异常的患者中,50%接受了导航,23%完成了结肠镜检查.
- 障碍包括人员干扰,结肠镜可用性有限和患者不信任;促进者包括协议适应和协作.
结论:
- 农村环境中的患者导航面临着重大实施挑战.
- 建议采取系统层面的干预措施,并加强诊所,提供者和支付人之间的伙伴关系.
- 对未来的农村航行模型来说,利用质量改善的最佳实践至关重要.
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