Newberry Sydne J, Tsuei Jeannette, Larkin Jody, Motala Aneesa, Howard Kayla, Dunivan Gena
Rand Health Q. 2023 Jun 16;10(3):3. eCollection 2023 Jun.
Urinary incontinence (UI) is a highly prevalent condition among women worldwide. Although effective nonsurgical treatments exist, including pharmacological, behavioral, and physical therapies, many women with the condition are never diagnosed because of a lack of information, stigma, and the absence of regular screening in primary care, and those who are diagnosed might not receive or adhere to treatment. In this study, the authors present an environmental scan of studies published from 2012 through 2022 that assess the dissemination and implementation of nonsurgical UI treatment-including screening, management, and referral strategies-for women in primary care. The scan was conducted as part of the RAND's support and evaluation contract for the Agency for Healthcare Research and Quality's initiative. The initiative, which builds on the agency's EvidenceNOW model, funds five grant projects to disseminate and implement improved nonsurgical treatment of UI for women within primary care practices in separate regions of the United States.
尿失禁（UI）在全球女性中是一种高度普遍的病症。尽管存在有效的非手术治疗方法，包括药物治疗、行为治疗和物理治疗，但许多患有这种病症的女性从未被诊断出来，原因是缺乏相关信息、存在污名化现象以及初级保健中缺乏定期筛查，而且那些被诊断出的患者可能无法接受或坚持治疗。在本研究中，作者对2012年至2022年发表的研究进行了环境扫描，这些研究评估了初级保健中针对女性的非手术尿失禁治疗（包括筛查、管理和转诊策略）的传播与实施情况。该扫描是作为兰德公司为医疗保健研究与质量局的倡议提供支持和评估合同的一部分进行的。该倡议以该机构的EvidenceNOW模式为基础，资助了五个资助项目，以在美国不同地区的初级保健实践中传播和实施针对女性的改进后的非手术尿失禁治疗。
