利用电子健康记录解决乳腺癌差异问题。

IF 1 Q4 ONCOLOGY Current Breast Cancer Reports Pub Date : 2022-01-01 DOI:10.1007/s12609-022-00457-z
Solange Bayard, Genevieve Fasano, Rulla M Tamimi, Pilyung Stephen Oh
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引用次数: 0

摘要

综述目的:乳腺癌是女性中最常见的癌症,也是癌症死亡的主要原因。然而,种族和少数民族群体,以及农村和服务不足的人口,面临着限制他们获得乳腺癌专科护理的差距。为了解决这些差异,医疗保健提供者可以利用电子健康记录(EHR)。最近的发现:很少有研究评估了使用电子病历解决乳腺癌差异的潜在好处,而且没有一个研究概述了这种努力的标准方法。然而,这些研究概述了电子病历可以用于识别和通知有乳腺癌风险的患者。这些系统还可以自动转诊和安排筛查和基因检测,以及招募符合条件的患者进行临床试验。电子病历还可以提供教育材料,以减少与可改变的危险因素(如体育活动、肥胖和吸烟)相关的风险。这些系统还可以支持远程医疗访问和集中机构间沟通,以提高治疗依从性和护理质量。摘要:电子病历通过提高患者参与度、改善患者与医疗服务提供者之间的沟通以及加强医疗服务提供者之间的沟通,在提高乳腺癌患者的可及性和沟通方面具有巨大的潜力。这些努力可以通过增加乳腺癌筛查,改善治疗依从性,扩大专科护理的可及性,以及在种族和少数民族群体和其他服务不足的人群中促进降低风险的习惯来缩小乳腺癌的差距。
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Leveraging Electronic Health Records to Address Breast Cancer Disparities.

Purpose of review: Breast cancer is the most commonly diagnosed cancer in women, and the leading cause of cancer death. However, racial and ethnic minority groups, as well as rural and underserved populations, face disparities that limit their access to specialty care for breast cancer. To address these disparities, health care providers can leverage an electronic health record (EHR).

Recent findings: Few studies have evaluated the potential benefits of using EHRs to address breast cancer disparities, and none of them outlines a standard approach for this effort. However, these studies outline that EHRs can be used to identify and notify patients at risk for breast cancer. These systems can also automate referrals and scheduling for screening and genetic testing, as well as recruit eligible patients for clinical trials. EHRs can also provide educational materials to reduce risks associated with modifiable risk factors, such as physical activity, obesity, and smoking. These systems can also support telemedicine visits and centralize inter-institutional communication to improve treatment adherence and the quality of care.

Summary: EHRs have tremendous potential to increase accessibility and communication for patients with breast cancer by augmenting patient engagement, improving communication between patients and providers, and strengthening communication among providers. These efforts can reduce breast cancer disparities by increasing breast cancer screening, improving treatment adherence, expanding access to specialty care, and promoting risk-reducing habits among racial and ethnic minority groups and other underserved populations.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
24
期刊介绍: This journal aims to review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of breast cancer. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those with the disease. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as prevention, systemic therapy, and translational research. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
期刊最新文献
Clinical Relevance of Radial Scars: A Review of the Current Literature Minimally Invasive Breast Cancer: How to Find Early Breast Cancers Impact of Systemic Therapy on Fertility in Women with Early-Stage Breast Cancer Chemoprevention—Historical Perspectives and Current Trends Hereditary Breast Cancer, Genetics, and Fertility Preservation
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