2009. gadā krūts vēža skrīninga programmā iekļauto sieviešu atsaucības analīze laikā līdz 2017. gadam Latvijā.
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Date
2020
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Maģistra darbā atspoguļota krūts vēža skrīninga atsaucība kā viens no būtiskākajiem valsts organizētas skrīninga programmas kvalitāti un izpildījumu raksturojošiem parametriem. Ļaundabīgi audzēji ir būtiska sabiedrības veselības problēma visās pasaules valstīs, un to agrīnai diagnostikai jābūt veselības aizsardzības politikas galvenajai prioritātei.
Maģistra darba mērķis ir izpētīt 2009. gadā valsts organizēta krūts vēža skrīninga programmā iekļauto sieviešu atsaucību laikā līdz 2017. gadam saistībā ar demogrāfiskiem faktoriem un iepriekšējo skrīninga izmeklējuma rezultātu. Lai sasniegtu mērķi, tika izvirzīti sekojoši uzdevumi: (1) veikt zinātniskās literatūras analīzi, (2) raksturot 2009. gadā krūts vēža skrīninga programmā iekļauto sieviešu atsaucības izmaiņas laikā līdz 2017. gadam, kā arī (3) analizēt krūts vēža skrīninga atsaucību saistībā ar sievietes demogrāfiskajiem faktoriem un (4) iepriekšējā krūts vēža skrīninga izmeklējuma rezultātu. Tika izvirzītas trīs hipotēzes: (1) 2009. gadā valsts organizēta krūts vēža skrīninga programmā iekļauto sieviešu atsaucība laikā līdz 2017. gadam ir pieaugusi, (2) valsts organizēta krūts vēža skrīninga programmā iekļauto sieviešu atsaucība saistīta ar sievietes vecumu, dzīvesvietu un attālumu līdz ārstniecības iestādei, kur veikts izmeklējums, kā arī (3) ar iepriekšējo krūts vēža skrīninga izmeklējuma rezultātu.
Krūts vēža skrīninga atsaucība 2009. gadā programmā iekļauto sieviešu vidū laikā līdz 2017. gadam palielinājās, tomēr atsaucības rādītāji nesasniedza Eiropas noteiktos. Augstākas izredzes veikt skrīninga mamogrāfiju bija sievietēm, kuras dzīvo ārpus Rīgas, kā arī neatkarīgi no dzīvesvietas, lielākas izredzes veikt izmeklējumu bija jaunākām sievietēm. No visiem analizētajiem mainīgajiem, iepriekšējās skrīninga mamogrāfijas rezultātam bija visbūtiskākā ietekme uz turpmākajiem skrīninga atsaucības rādītājiem – jo izmeklējuma rezultāts bija nopietnāks, jo mazākas bija izredzes, ka sieviete veiks atkārotu skrīninga mamogrāfiju. Kopumā krūts vēža skrīninga atsaucības rādītāji Latvijā ir zemāki, salīdzinot ar citām Eiropas valstīm. Īpaša uzmanība krūts vēža skrīninga programmas ietvaros jāpievērš mamogrāfijas apraksta kvalitātei. Visas trīs izvirzītās hipotēzes apstiprinājās.
Darbs sastāv no pētījuma teorētiskās daļas, pētījuma praktiskās daļas, diskusijas, secinājumiem, priekšlikumiem un izmantotās literatūras avotiem. Darbā ir 6 attēli un 14 tabulas, tā kopējais apjoms 72 lpp.
Mežale, Džeina. 2009. gadā krūts vēža skrīninga programmā iekļauto sieviešu atsaucības analīze laikā līdz 2017. gadam Latvijā. Maģistra darbs / zinātniskā vadītāja asoc.prof. Inese Gobiņa. Rīga: RSU/RISEBA, 2020. 72 lpp.
Master's thesis reflects the participation of breast cancer screening as one of the most important parameters characterizing the quality and performance of a nationally organized screening program. Malignant tumors are a major public health concern throughout the world, and an early diagnosis should be a major priority of a health policy. The aim of the thesis is to analyze the participation of women included in the national breast cancer screening program in 2009 with follow-up until 2017 in regards to the demographic factors and the previous screening results. To achieve this goal, the following tasks were set: (1) to analyze the scientific literature, (2) to characterize the changes in screening adherence from 2009 to 2017 of women included in the breast cancer screening program in 2009, as well as (3) to analyze the participation of women in the breast cancer screening program in regards to the demographic factors and (4) the previous breast cancer screening result. Three hypotheses were developed: (1) the adherence rate of women participating in the national breast cancer screening program in 2009 has increased by 2017, (2) the adherence rate of women participating in the national breast cancer screening program is related to their age, place of residence and the proximity to a medical institution providing the screening, as well as (3) the results of the previous breast cancer screening. Breast cancer screening participation rates for women included in the program in 2009 increased from 2009 to 2017; however, the adherence rates did not meet the European standards. Women living outside Riga were more likely to undergo screening mammography, and younger women were more likely to be screened regardless of their place of residence. Of all the variables analyzed, the result of the previous screening mammography had the most significant effect on future screening participation rates - the more serious the screening result, the less likely it was that a woman would undergo a repeated screening mammography. Overall, the breast cancer screening participation rates in Latvia are lower compared to other European countries. Particular attention should be paid to the quality of the mammography description in the breast cancer screening program. All three hypotheses were confirmed. Thesis consists of the theoretical part of the research, practical part of the research, discussion, conclusions, suggestions and the and references. Thesis contains 8 pictures and 14 tables, its total volume is 72 pages. Mezale, Dzeina. Participation among women included in breast cancer screening program in 2009 in Latvia with follow- up until 2017. Master's thesis / scientific supervisor asoc.prof. Inese Gobina. Riga: RSU/RISEBA, 2020. 72 pages.
Master's thesis reflects the participation of breast cancer screening as one of the most important parameters characterizing the quality and performance of a nationally organized screening program. Malignant tumors are a major public health concern throughout the world, and an early diagnosis should be a major priority of a health policy. The aim of the thesis is to analyze the participation of women included in the national breast cancer screening program in 2009 with follow-up until 2017 in regards to the demographic factors and the previous screening results. To achieve this goal, the following tasks were set: (1) to analyze the scientific literature, (2) to characterize the changes in screening adherence from 2009 to 2017 of women included in the breast cancer screening program in 2009, as well as (3) to analyze the participation of women in the breast cancer screening program in regards to the demographic factors and (4) the previous breast cancer screening result. Three hypotheses were developed: (1) the adherence rate of women participating in the national breast cancer screening program in 2009 has increased by 2017, (2) the adherence rate of women participating in the national breast cancer screening program is related to their age, place of residence and the proximity to a medical institution providing the screening, as well as (3) the results of the previous breast cancer screening. Breast cancer screening participation rates for women included in the program in 2009 increased from 2009 to 2017; however, the adherence rates did not meet the European standards. Women living outside Riga were more likely to undergo screening mammography, and younger women were more likely to be screened regardless of their place of residence. Of all the variables analyzed, the result of the previous screening mammography had the most significant effect on future screening participation rates - the more serious the screening result, the less likely it was that a woman would undergo a repeated screening mammography. Overall, the breast cancer screening participation rates in Latvia are lower compared to other European countries. Particular attention should be paid to the quality of the mammography description in the breast cancer screening program. All three hypotheses were confirmed. Thesis consists of the theoretical part of the research, practical part of the research, discussion, conclusions, suggestions and the and references. Thesis contains 8 pictures and 14 tables, its total volume is 72 pages. Mezale, Dzeina. Participation among women included in breast cancer screening program in 2009 in Latvia with follow- up until 2017. Master's thesis / scientific supervisor asoc.prof. Inese Gobina. Riga: RSU/RISEBA, 2020. 72 pages.
Description
Veselības vadība
Health management
Veselības aprūpe
Health Care
Health management
Veselības aprūpe
Health Care
Keywords
krūts vēža skrīninga programma, skrīninga organizācija, atsaucības analīze, breast cancer screening program, screening policy, participation rate