对社区卫生中心的随访结肠镜检查和胃肠病学专科的员工和提供者的经验进行定性研究
Cynthia M Mojica1, Jennifer L Schneider2, Jamie H Thompson2
1College of Health, Oregon State University, Corvallis, OR, USA.
Journal of cancer prevention
|December 22, 2025
概括
改善结肠直肠癌查需要联邦合格卫生中心 (FQHC) 和胃肠病 (GI) 实践之间进行更好的沟通. 这有助于为服务不足的人群及时完成结肠镜检查.
科学领域:
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠直肠癌查可以预防晚期疾病并改善存活率.
- 及时跟踪异常查,特别是便免疫化学测试,至关重要.
- 联邦合格卫生中心 (FQHCs) 服务于需要有效查途径的低资源人口.
研究的目的:
- 检查FQHC患者的结肠镜转诊和完成过程.
- 在社区胃肠道病学 (GI) 实践中确定结肠镜检查完成的障碍和促进因素.
- 收集建议,以改善异常结直肠癌查后的随访护理.
主要方法:
- 使用雪球采样进行定性研究.
- 采访了5名FQHC工作人员和8名社区GI实践人员.
- 在2020年3月至2023年1月期间进行的采访,涵盖了大流行中断.
主要成果:
- 在初级保健 (FQHCs) 和GI实践之间存在沟通和协作差距.
- 流行病相关的干扰影响了转介和安排流程.
- 患者和组织障碍阻碍了弱势群体完成结肠镜检查.
结论:
- 加强沟通和协作对于结肠镜检查的完成至关重要.
- 集中推和安排系统需要进一步的研究.
- 需要多元干预措施来解决患者和系统障碍,以便及时完成结肠镜检查.
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