建模在提醒强度和导航中的权衡,用于大规模邮寄的便测试程序
Jennifer C Spencer1, Nicole Kluz1, Virginia Mitchell1
1Department of Population Health, Dell Medical School, University of Texas at Austin.
American journal of preventive medicine
|November 15, 2025
概括
邮寄便检测有效地增加了结直肠癌 (CRC) 查. 患者导航具有成本效益,低强度提醒在预算限制范围内最大限度地发挥影响,优化CRC预防计划.
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
- 预防癌症 预防癌症
背景情况:
- 邮寄便检测是提高结肠直肠癌 (CRC) 查率的经过验证的策略.
- 扩大邮寄查计划需要仔细考虑覆盖范围,强度和预算.
研究的目的:
- 检查邮寄CRC查计划的总覆盖范围,程序强度和预算影响之间的权衡.
- 确定最佳策略,以有效地扩大邮寄的CRC查计划.
主要方法:
- 基于人口的模拟模型被使用,反映了德克萨斯州在五年内检查不足的215,000名个人.
- 进行比较的策略包括不同的提醒强度 (没有,低,高) 和增加患者导航员外展.
- 在传统和预算受限制的框架下分析了200个概率场景.
主要成果:
- 有患者导航的场景始终优于没有的场景.
- 低强度提醒每次预防CRC病例需要108,000美元,而高强度提醒每次增加193,000美元.
- 在1300万美元的预算中,导航与低强度提醒相结合,最大限度地提高了计划的总影响.
结论:
- 在便检测结果呈阳性后优先考虑患者导航是预防CRC的成本效益高的策略.
- 邮寄CRC查计划的最佳提醒策略取决于目标人群规模和可用的预算.
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