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[初级医疗保健专业人员参与巴斯克地区的结直肠癌筛查计划。]

[Involvement of the Primary Healthcare professionals in the Colorectal Cancer Screening Programme of the Basque Country.].

作者信息

Unanue-Arza Saloa, Arana-Arri Eunate, Portillo Isabel, Arostegui Inmaculada

机构信息

Departamento de Enfermería I, Facultad de Medicina y Enfermería. Universidad del País Vasco/Euskal Herriko Unibertsitatea UPV/EHU. Leioa. España.

BioCruces-Bizkaia Health Research Institute. Barakaldo. Bizkaia. España.

出版信息

Rev Esp Salud Publica. 2021 Jan 26;95:e202101012.

Abstract

OBJECTIVE

The Basque Government (Spain) approved a population based Colorectal Cancer Screening Programme in 2008 with its base on Primary Healthcare. Since then, a coverage of 100% of the population and an average participation rate of 68.4% have been achieved. General Practitioners and nurses play a central role on its implementation. The aim of this work was to describe the characteristics, involvement and attitudes of the health professionals that implement the programme.

METHODS

A cross-sectional descriptive study was conducted in Primary Healthcare to general practitioners and nurses between May and June of 2016. An ad-hoc online questionnaire was designed. The data included socio-demographic information and questions regarding their involvement on the programme.

RESULTS

1,216 health professionals answered the questionnaire, 50.7% were general practitioners and 49.3% nurses. 78% of the responders were women. The 75.8% considered the programme very important although differences were found between general practitioners and nurses. The 89% of the professionals attended training and 34% scientific workshops about screening at least once. There were differences between general practitioners and nurses on the attendance to the training and importance they give to the programme, and on their participation on workshops.

CONCLUSIONS

There is a high level of involvement of Primary Healthcare professionals in the programme as they consider it very important; this could be one of the keys for its success. The differences between professionals on their opinion and experience should be taken into account on its design, as they are the ones with a closer contact with the population.

摘要

目的

西班牙巴斯克政府于2008年批准了一项基于初级医疗保健的人群结直肠癌筛查计划。自那时以来,已实现了100%的人口覆盖,平均参与率为68.4%。全科医生和护士在该计划的实施中发挥着核心作用。这项工作的目的是描述实施该计划的卫生专业人员的特征、参与情况和态度。

方法

2016年5月至6月,在初级医疗保健机构对全科医生和护士进行了一项横断面描述性研究。设计了一份专门的在线问卷。数据包括社会人口学信息以及关于他们参与该计划的问题。

结果

1216名卫生专业人员回答了问卷,其中50.7%是全科医生,49.3%是护士。78%的受访者为女性。75.8%的人认为该计划非常重要,不过全科医生和护士之间存在差异。89%的专业人员至少参加过一次关于筛查的培训和34%的科学研讨会。全科医生和护士在参加培训、对该计划的重视程度以及参与研讨会方面存在差异。

结论

初级医疗保健专业人员对该计划的参与程度很高,因为他们认为该计划非常重要;这可能是其成功的关键之一。在计划设计时应考虑专业人员在意见和经验上的差异,因为他们与人群联系最为密切。

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