Loma Linda University Health, Family Medicine Department, Redlands, CA, USA.
Perm J. 2022 Jun 29;26(2):21-27. doi: 10.7812/TPP/21.066. Epub 2022 Jun 15.
Background Family medicine residency clinics and underserved Federally Qualified Health Center clinics often have lower rates of cervical cancer screening (CCS). Methods A series of resident-run, team-based quality improvement projects were conducted to iteratively improve CCS rates in an urban Federally Qualified Health Center in a high-need and high-demand region. Results The authors were able to improve CCS rates from 52.2% to 66.3% through 6 quality improvement projects. Conclusion Improving the clinical workflows and systems to promote better rates of CCS likely requires a series of changes, however, promoting CCS in the usual clinic workflow, regardless of the reason for visit, demonstrated the greatest gains in CCS in our setting.
家庭医学住院医师诊所和服务不足的联邦合格健康中心诊所的宫颈癌筛查(CCS)率往往较低。方法:在一个高需求和高需求地区的城市联邦合格健康中心,一系列由住院医师主导、团队合作的质量改进项目被实施,以逐步提高 CCS 率。结果:作者通过 6 个质量改进项目,将 CCS 率从 52.2%提高到 66.3%。结论:改善临床工作流程和系统以提高 CCS 率可能需要一系列的改变,然而,在常规诊所工作流程中促进 CCS,无论就诊原因如何,在我们的环境中都显示出了最大的 CCS 提高。