在一个大型的社区性结直肠癌查计划中的患者导航活动
Jessica Calderón-Mora1, Virginia E Mitchell2, Rebekah Salaiz3
1Department of Population Health, University of Texas at Austin, Dell Medical School, Austin, TX, USA. Jessica.calderonmora@austin.utexas.edu.
BMC primary care
|January 29, 2026
概括
患者导航在缺乏服务的西班牙裔人口中显著增加了结直肠癌 (CRC) 查完成率. 这种文化定制的计划平均为每位参与者提供了9.66个联系,这证明了CRC查普及的有效性.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 预防癌症 预防癌症
背景情况:
- 对于年龄在45-75岁的平均风险成年人,建议对结肠直肠癌 (CRC) 进行查,但查率仍然低于最佳水平.
- 患者导航是一种基于证据的策略,在增加癌症查采用率方面已被证明是有效的.
- 这项研究侧重于文化定制的,基于社区的CRC查计划,为未经查,服务不足和主要是西班牙裔人口提供服务.
研究的目的:
- 描述在成功的社区CRC查计划中实施的患者导航活动.
- 描述提供导航联系的类型,频率和持续时间.
- 分析与所需的航行活动数量和选障碍相关的因素.
主要方法:
- 分析了200名参与者的样本 (100名高风险,100名FIT测试阳性) 来自690名更大的队列.
- 收集的数据包括参与者识别的障碍和导航联系人的详细信息.
- 回归模型检查了社会人口统计学/健康因素与导航需求或报告的障碍之间的关联.
主要成果:
- 研究样本 (n=200) 的平均年龄为56.3岁,主要是女性 (74.0%) 和西班牙裔 (96.5%).
- 参与者平均获得了9.66次导航联系,导航员每位参与者花费大约54.89分钟.
- 主要的导航活动包括预约安排,提醒电话和结果沟通.
结论:
- 这些发现提供了关于CRC查和结肠镜检查所需的具体导航活动和时间投资的详细见解.
- 这些信息对于改进针对服务不足和选不足的人群的社区查计划是有价值的.
- 这项研究强调了文化定制的患者导航在克服CRC查障碍方面的有效性.
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