Challenges in meeting Healthy People 2020 objectives for cancer-related preventive services, National Health Interview Survey, 2008 and 2010.
Challenges in meeting Healthy People 2020 objectives for cancer-related preventive services, National Health Interview Survey, 2008 and 2010.
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DOI：
10.5888/pcd11.130174
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发表时间：
2014-02-27
影响因子：
5.5
通讯作者：
McNeel TS
中科院分区：
文献类型：
--
作者：
Brown ML;Klabunde CN;Cronin KA;White MC;Richardson LC;McNeel TS
Healthy People (HP) 是一项美国计划，旨在制定和跟踪国家健康目标。国家健康访谈调查 (NHIS) 是用于设定和评估多个癌症 HP 目标的指定数据源。我们使用 2008 年和 2010 年 NHIS 的数据为国家实现 HP 2020 年癌症相关目标的绩效提供基准。选择了 HP 2020 年癌症筛查、提供者咨询和医疗保健获取目标。对于每个目标，计算了总体人口和几个社会人口亚组的 NHIS 测量值；将调查结果与惠普既定的 2020 年目标进行了比较。 2008年至2010年，乳腺癌和宫颈癌筛查率略有下降，而结直肠癌筛查率则上升了7个百分点。癌症筛查和提供者咨询率低于惠普目标。对于低收入、没有医疗保险或没有常规护理来源的亚群体来说，实现惠普目标的可能性似乎较小。要实现惠普获得医疗服务的目标，需要将 65 岁以下拥有医疗保险的人口比例增加 18 个百分点，将 18 岁至 64 岁拥有常规护理来源的人口比例增加 10 个百分点。惠普癌症筛查和医疗保健获取的目标能否实现可能取决于改善医疗保健的获取和协调的医疗保健改革措施的实施。还需要更好地整合临床医疗保健和社区努力，以提供高质量的筛查和治疗服务并消除健康差距。
Healthy People (HP) is the US program that formulates and tracks national health objectives for the nation. The National Health Interview Survey (NHIS) is a designated data source for setting and evaluating several HP targets in cancer. We used data from the 2008 and 2010 NHIS to provide a benchmark for national performance toward meeting HP 2020 cancer-related objectives. HP 2020 cancer screening, provider counseling, and health care access objectives were selected. For each objective, NHIS measures for the overall population and several sociodemographic subgroups were calculated; the findings were compared with established HP 2020 targets. From 2008 to 2010, rates of breast and cervical cancer screening declined slightly while colorectal cancer screening rates increased by 7 percentage points. Rates of cancer screening and provider counseling were below HP targets. Meeting HP targets seems less likely for subgroups characterized by low income, no health insurance, or no usual source of care. Meeting HP targets for access to health services will require an increase of 18 percentage points in the proportion of persons under age 65 with health insurance coverage and an increase of 10 percentage points in the proportion aged 18 to 64 with a usual source of care. Whether HP objectives for cancer screening and health care access are met may depend on implementation of health care reform measures that improve access to and coordination of care. Better integration of clinical health care and community-based efforts for delivering high-quality screening and treatment services and elimination of health disparities are also needed.
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影响因子：
3
作者：
Sabatino, Susan A.;Coates, Ralph J.;Shaw, Kate M.
通讯作者：
Shaw, Kate M.
影响因子：
39.2
作者：
Yabroff, K. Robin;Saraiya, Mona;Coughlin, Steven S.
通讯作者：
Coughlin, Steven S.
影响因子：
3.8
作者：
Zapka, Jane M.;Klabunde, Carrie N.;Kobrin, Sarah C.
通讯作者：
Kobrin, Sarah C.
影响因子：
3.8
作者：
Klabunde, Carrie N.;Cronin, Kathleen A.;Nadel, Marion R.
通讯作者：
Nadel, Marion R.
影响因子：
6.2
作者：
Meissner, Helen I.;Klabunde, Carrie N.;Breen, Nancy
通讯作者：
Breen, Nancy