Veterans Health Administration-Tennessee Valley Healthcare System Geriatric Research, Education and Clinical Center, Nashville, Tennessee, USA.
Division of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Cancer. 2024 Dec 1;130(23):3973-3984. doi: 10.1002/cncr.34555. Epub 2024 Sep 20.
The American Cancer Society National Lung Cancer Roundtable strategic plan for provider engagement and outreach addresses barriers to the uptake of lung cancer screening, including lack of provider awareness and guideline knowledge about screening, concerns about potential harms from false-positive examinations, lack of time to implement workflows within busy primary care practices, insufficient infrastructure and administrative support to manage a screening program and patient follow-up, and implicit bias based on sex, race/ethnicity, social class, and smoking status. Strategies to facilitate screening include educational programming, clinical reminder systems within the electronic medical record, decision support aids, and tools to track nodules that can be implemented across a diversity of practices and health care organizational structures. PLAIN LANGUAGE SUMMARY: The American Cancer Society National Lung Cancer Roundtable strategic plan to reduce deaths from lung cancer includes strategies designed to support health care professionals, to better understand lung cancer screening, and to support adults who are eligible for lung cancer screening by providing counseling, referral, and follow-up.
美国癌症协会国家肺癌圆桌会议的提供者参与和外展战略计划旨在解决肺癌筛查接受度的障碍，包括提供者对筛查的认识和指南知识不足、对假阳性检查可能造成的危害的担忧、在繁忙的初级保健实践中实施工作流程的时间不足、管理筛查计划和患者随访的基础设施和行政支持不足，以及基于性别、种族/民族、社会阶层和吸烟状况的隐性偏见。促进筛查的策略包括教育计划、电子病历中的临床提醒系统、决策支持工具以及用于跟踪结节的工具，这些策略可以在各种实践和医疗保健组织结构中实施。 通俗语言摘要：美国癌症协会国家肺癌圆桌会议降低肺癌死亡率的战略计划包括旨在支持医疗保健专业人员、更好地了解肺癌筛查以及通过提供咨询、转介和随访来支持有资格进行肺癌筛查的成年人的策略。
