Patel Miral M, Parikh Jay R
The University of Texas MD Anderson Cancer Center, Department of Radiology, Houston, TX.
J Breast Imaging. 2021 Jan 26;3(1):98-105. doi: 10.1093/jbi/wbaa092.
Recent reports have highlighted disparities in breast cancer care related to patient diversity. Breast radiologists represent the face of breast imaging and are key players in advocating for patients to reduce these disparities. Diversity-related barriers for breast imaging patients, as they journey from screening to survivorship, include impediments to access and quality of care, gaps in communication, and lack of knowledge in both providers and patients. Potential strategies for overcoming these specific barriers include "culturally tailored" nurse navigators, mobile mammography, improved communication, patient and provider education, and breast radiologist involvement in advocacy efforts promoting diversity. As current trends in recommendations and guidelines for breast imaging include more numerous and advanced imaging modalities, it is important to acknowledge and address diversity-related disparities.
近期报告凸显了与患者多样性相关的乳腺癌护理差异。乳腺放射科医生是乳腺成像的代表,也是倡导患者减少这些差异的关键角色。乳腺成像患者从筛查到康复过程中,与多样性相关的障碍包括获得医疗服务的障碍、护理质量问题、沟通差距以及医护人员和患者双方知识的欠缺。克服这些特定障碍的潜在策略包括“文化定制”的护士导航员、移动乳腺摄影、改善沟通、患者和医护人员教育,以及乳腺放射科医生参与促进多样性的宣传工作。由于当前乳腺成像的建议和指南趋势包括更多、更先进的成像模式,认识并解决与多样性相关的差异很重要。