Kaalekahi Jodie M, Gandhi Krupa R, Chen John J, Kuwada Scott K
The Queen's Medical Center, Honolulu, HI (JMK, SKK).
Hawaii J Med Public Health. 2016 Jan;75(1):13-7.
A retrospective chart review in the Endoscopy Department at Queen's Medical Center identified 358 Native Hawaiian patients who had completed a colonoscopy screening procedure between August 2011 and January 2013, through either the Direct Referral Colonoscopy program or its Traditional Referral program. The differences in the characteristics of Native Hawaiian patients were summarized and compared between the two referral programs to identify potential barriers for future interventions and increase colorectal cancer screening. The combined colonoscopy screening rate among Native Hawaiians was 13%. Younger patients and those with private insurance were found to be undergoing colonoscopy screening through the Direct Referral program. The findings of this study underscore the need to reduce disparities in colonoscopy screening among Native Hawaiians.
皇后医疗中心内镜科的一项回顾性病历审查，确定了358名夏威夷原住民患者，他们在2011年8月至2013年1月期间通过直接转诊结肠镜检查项目或传统转诊项目完成了结肠镜筛查程序。总结并比较了两个转诊项目中夏威夷原住民患者特征的差异，以确定未来干预的潜在障碍，并提高结直肠癌筛查率。夏威夷原住民的结肠镜联合筛查率为13%。发现年轻患者和有私人保险的患者通过直接转诊项目接受结肠镜筛查。这项研究的结果强调了减少夏威夷原住民结肠镜筛查差异的必要性。
