安大略省移民患者的乳腺癌、结直肠癌和宫颈癌阿非利卡人中心筛查计划。
Afrocentric screening program for breast, colorectal, and cervical cancer among immigrant patients in Ontario.
机构信息
Family physician and Public Health and Preventive Medicine Specialist in Toronto, Ont, Associate Program Director of the Public Health and Preventive Medicine Residency Program at the Dalla Lana School of Public Health, Black Health Theme Lead in the Faculty of Medicine, and Equity, Diversity and Inclusion Lead for the Department of Family and Community Medicine, all at the University of Toronto.
Family doctor at Inner City Health Associates in Toronto.
出版信息
Can Fam Physician. 2021 Nov;67(11):843-849. doi: 10.46747/cfp.6711843.
PROBLEM ADDRESSED
Black and immigrant populations across Canada have lower screening rates than Canadian-born white populations, predisposing them to increased cancer morbidity and mortality. Effective interventions are required to increase cancer screening rates among these populations.
OBJECTIVE OF PROGRAM
To improve breast, colorectal, and cervical cancer screening rates at TAIBU Community Health Centre, which has a mandate to provide primary health care services to the Black and immigrant community in the greater Toronto area.
PROGRAM DESCRIPTION
An Afrocentric quality improvement program was developed and implemented, consisting of provider audits, cancer screening education programs, a patient call-back program, and a mammography promotion day.
CONCLUSION
TAIBU Community Health Centre's continuous quality improvement approach was successful in engaging health care providers and patients to increase cancer screening participation sustainably in a racially and socioeconomically diverse setting. Rates of breast, colorectal, and cervical cancer screening offered to eligible patients increased from 17% to 72%, 18% to 67%, and 59% to 70%, respectively, between 2011 and 2018.
问题
加拿大的黑人和移民群体的筛查率低于加拿大出生的白人，这使他们更容易患癌症，导致发病率和死亡率上升。需要有效的干预措施来提高这些人群的癌症筛查率。
项目目标
提高 TAIBU 社区健康中心的乳腺癌、结直肠癌和宫颈癌筛查率，该中心的任务是为大多伦多地区的黑人和移民社区提供初级医疗服务。
项目描述
开发并实施了一项以非裔为中心的质量改进计划，其中包括提供者审核、癌症筛查教育计划、患者回拨计划和乳房 X 光摄影推广日。
结论
TAIBU 社区健康中心的持续质量改进方法成功地让医疗保健提供者和患者参与其中，在一个种族和社会经济多样化的环境中，可持续地提高癌症筛查的参与率。在 2011 年至 2018 年期间，向符合条件的患者提供的乳腺癌、结直肠癌和宫颈癌筛查率分别从 17%提高到 72%、18%提高到 67%和 59%提高到 70%。
Zotero 插件