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利用患者教育扩大美国的结直肠癌筛查:策略与影响

Leveraging Patient Education to Amplify Colorectal Cancer Screening in the United States: Strategies and Implications.

作者信息

Baskar Suriya, Schoeneich Robert, Baskar Adhithya, Grewal Udhayvir Singh

机构信息

Department of Internal Medicine, The Brooklyn Hospital Center, Brooklyn, NY, USA.

Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

出版信息

J Cancer Educ. 2024 Jul 26. doi: 10.1007/s13187-024-02482-1.

Abstract

Despite several available screening modalities, colorectal cancer (CRC) remains a leading cause of cancer deaths, especially among populations with lower screening rates. Barriers to screening include cost, access, awareness, and education disparities, with interventions such as patient education programs and mailed screening kits showing promise in increasing participation rates. The current review elucidates the correlation between patient awareness/knowledge and screening rates in the United States, highlighting the pivotal role of education in mitigating these deficiencies. Different educational models, including online resources, mailed information, community programs, direct provider-based interventions, and narratives, are explored in terms of their effectiveness and limitations. We also offer a blueprint for primary care providers (PCPs) that highlights the importance of tailored education, barrier identification, and utilization of available resources to enhance CRC screening uptake. Large-scale adoption of educational strategies has the potential to significantly increase CRC screening rates and consequently reduce mortality associated with this preventable malignancy.

摘要

尽管有多种可用的筛查方式,但结直肠癌(CRC)仍是癌症死亡的主要原因,尤其是在筛查率较低的人群中。筛查的障碍包括成本、可及性、意识和教育差距,诸如患者教育项目和邮寄筛查试剂盒等干预措施在提高参与率方面显示出前景。当前的综述阐明了美国患者意识/知识与筛查率之间的相关性,强调了教育在缓解这些不足方面的关键作用。探讨了不同的教育模式,包括在线资源、邮寄信息、社区项目、基于直接医疗服务提供者的干预措施和叙事,分析了它们的有效性和局限性。我们还为初级保健提供者(PCP)提供了一个蓝图,强调了量身定制教育、识别障碍以及利用可用资源以提高CRC筛查接受率的重要性。大规模采用教育策略有可能显著提高CRC筛查率,从而降低与这种可预防恶性肿瘤相关的死亡率。

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