临床观点聚焦:改善服务不足人群获得移动乳腺 X 射线照相服务的可持续模式。

Rohan Badve, Sidhvi Reddy, Stefanie Zalasin, Kathryn Zamora, Ceren Yalniz, Stefanie Woodard
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引用次数: 0

摘要

50 岁以下的少数民族妇女面临的乳腺癌诊断和死亡风险高得不成比例。流动乳腺 X 射线照相车提高了筛查的可及性,但也面临着长期资金和运营可行性等挑战。本研究通过文献综述和定性访谈,评估了现有的流动乳腺 X 射线照相车项目,并在一家三级医疗学术中心提出了一个可持续发展的模式。建议的模式强调合作、赞助和长期资助,以确保劳动力的可持续性。组织结构、预算分配、患者工作流程和随访协议旨在向主要为无保险患者提供服务过渡,同时保持财务稳定。这种可持续的方法希望能提高筛查率,并为得不到充分服务的妇女提供及时护理,这表明该方法具有可扩展性,并有可能降低晚期诊断率和死亡率。继续实施和评估对验证可行性和有效性至关重要,可确保筛查率的长期提高和计划的持久性。
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Clinical opinion spotlight: A sustainable model for improving access to mobile mammography for underserved populations.

Minority women face disproportionately higher risks of breast cancer diagnosis and mortality under 50. Mobile mammography vans enhance screening accessibility but face challenges like long-term funding and operational viability. This study assesses existing mobile mammography van programs and proposes a sustainable model through literature review and qualitative interviews at a tertiary care academic medical center. The proposed model emphasizes partnerships, sponsorships and long-term funding for ensuring workforce sustainability. Organizational structure, budget allocation, patient workflow and follow-up protocols are aimed at transitioning towards serving primarily uninsured patients while maintaining financial stability. This sustainable approach hopes to enhance screening rates and timely care for underserved women, suggesting scalability and potential to reduce late-stage diagnoses and mortality. Continued implementation and evaluation are essential for validating feasibility and effectiveness, ensuring long-term improvement in screening rates and program longevity.

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