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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >An intervention to change the approach to colorectal cancer screening in primary care
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An intervention to change the approach to colorectal cancer screening in primary care

机译:干预措施以改变初级保健机构中大肠癌筛查的方法

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Abstract Purpose: The purpose of this project was to increase colorectal cancer screening (CRC) rates in the state of Nevada. Research has shown that there are several interventions for providers to use to increase CRC screening rates in practice. The Nevada Colon Cancer Partnership (NCCP) has created a toolkit to assist providers to implement these interventions in practice. Data Sources: Research has repeatedly shown that CRC screening has a great impact on the morbidity and mortality of CRC. Studies have shown that a fecal occult blood test can detect 60-85% of CRCs and a colonoscopy with polyp removal can reduce mortality by 60-90%. Multiple studies have shown that a provider's recommendation is the most consistently influential factor in cancer screening. Furthermore, offering patients a choice and encouraging active participation in health care decision making has proven to increase CRC screening rates. Conclusions: The NCCP has collaborated with the American Cancer Society to create a web based toolkit for use by providers to change practice and screen all eligible patients for CRC. The toolkit is designed to encourage providers to decrease the morbidity and mortality of CRC and other cancers. The toolkit is useful to facilitate efforts of office-based clinicians to reduce disparities by applying screening guidelines on a universal basis to the age-appropriate population. A team approach to screening is encouraged to promote an opportunistic or global approach to assure all eligible patients are reached. Implications for Practice: As healthcare reform continues to evolve, Nurse Practitioners (NPs) will assume much of the primary care needs of our country. A preventive care model is an important aspect of the future of healthcare. NPs are in a perfect position to change the health of patients in a global way. The strategies and tools presented in this toolkit are designed to improve preventive care and assist the NP in assuring that every eligible patient receives the screening tests they need.
机译:摘要目的:该项目的目的是提高内华达州的大肠癌筛查(CRC)率。研究表明,提供者可以通过多种干预措施在实践中提高CRC筛查率。内华达州结肠癌合作组织(NCCP)创建了一个工具包,以协助提供者在实践中实施这些干预措施。数据来源:研究反复表明,CRC筛查对CRC的发病率和死亡率有很大影响。研究表明,粪便潜血试验可以检测出60-85%的CRC,而结肠镜检查可以去除息肉可以将死亡率降低60-90%。多项研究表明,提供者的推荐是癌症筛查中最一致的影响因素。此外,事实证明,为患者提供选择和鼓励他们积极参与医疗保健决策可以提高CRC筛查率。结论:NCCP与美国癌症协会合作创建了一个基于Web的工具包,提供者可以使用它来改变实践并筛查所有符合条件的CRC患者。该工具包旨在鼓励提供者降低CRC和其他癌症的发病率和死亡率。该工具包通过在普遍的基础上对适合年龄的人群应用筛查指南,有助于促进办公室临床医生减少差异的努力。鼓励采用团队筛查的方法,以促进机会主义或全局性方法,以确保达到所有合格的患者。实践的意义:随着医疗改革的不断发展,护士从业人员(NPs)将承担我国大部分的初级保健需求。预防保健模式是医疗保健未来的重要方面。 NP在全球范围内改变患者健康的理想位置。该工具包中提供的策略和工具旨在改善预防保健并协助NP确保每个合格的患者都接受他们需要的筛查测试。

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