Fransa’da oldu\u011fu gibi Kanada’da da milyonlarca ki\u015fi aile hekimine sahip de\u011fil. Bu durum, hastal\u0131klar\u0131n erken te\u015fhisi ve \u00f6l\u00fcmlerin azalt\u0131lmas\u0131 i\u00e7in hayati \u00f6neme sahip olan kanser taramas\u0131na eri\u015fimi zorla\u015ft\u0131r\u0131yor. Ontario’daki Champlain b\u00f6lgesinde y\u00fcr\u00fct\u00fclen bir deneyim, proaktif ve merkezile\u015ftirilmi\u015f bir yakla\u015f\u0131mla bu sorunun \u00fcstesinden gelmenin m\u00fcmk\u00fcn oldu\u011funu g\u00f6steriyor.<\/p>\n
Pilot bir program sayesinde, aile hekimi olmayan 500’den fazla ki\u015fi meme, kolon, akci\u011fer ve rahim a\u011fz\u0131 kanseri taramas\u0131ndan yararland\u0131. “S\u00fcper taray\u0131c\u0131” olarak adland\u0131r\u0131lan \u00f6zel e\u011fitimli bir hem\u015fire, telefon \u00fczerinden dan\u0131\u015fmanl\u0131k yapt\u0131. Gerekli testleri re\u00e7ete etti ve sonu\u00e7lar\u0131n takibini sa\u011flad\u0131. Bir y\u0131l i\u00e7inde 786 taramadan olu\u015fan test ger\u00e7ekle\u015ftirildi. Kat\u0131l\u0131mc\u0131lar aras\u0131nda, daha \u00f6nce hi\u00e7 tarama yapt\u0131rmam\u0131\u015f olanlar\u0131n oran\u0131 %36 idi.<\/p>\n
Sonu\u00e7lar dikkat \u00e7ekici: anormallik tespit oran\u0131, eyalet ortalamas\u0131ndan \u00e7ok daha y\u00fcksek \u00e7\u0131kt\u0131. \u00d6rne\u011fin, kolon taramalar\u0131n\u0131n %28’inde polip veya kanser tespit edildi; normalde bu oran sadece %4. Meme kanseri i\u00e7in, mamografilerin %13’\u00fcnde anormallik g\u00f6r\u00fcld\u00fc, bu da normal oran\u0131n neredeyse iki kat\u0131. Bu rakamlar k\u0131smen, program\u0131n klasik kampanyalar taraf\u0131ndan genellikle ihmal edilen n\u00fcfuslar\u0131 hedef almas\u0131ndan kaynaklan\u0131yor. Kat\u0131l\u0131mc\u0131lar \u00e7o\u011funlukla dezavantajl\u0131 semtlerde ya\u015f\u0131yor, g\u00f6\u00e7menler ve g\u00f6r\u00fcn\u00fcr az\u0131nl\u0131klar\u0131n oran\u0131 y\u00fcksek.<\/p>\n
Program, y\u00fcksek risk alt\u0131ndaki daha fazla ki\u015finin belirlenmesini de sa\u011flad\u0131. Kolorektal kanser i\u00e7in detayl\u0131 tarama hakk\u0131 olan kat\u0131l\u0131mc\u0131lar\u0131n %42’si uzman muayenelerine y\u00f6nlendirildi; eyalet ortalamas\u0131 ise sadece %2,6. Meme kanseri i\u00e7in bu oran %27’ye ula\u015ft\u0131, di\u011fer b\u00f6lgelerde ise %1,1. Bu farklar, geleneksel y\u00f6ntemlerin \u00f6zel ilgi gerektiren vakalar\u0131 ka\u00e7\u0131rd\u0131\u011f\u0131n\u0131 g\u00f6steriyor.<\/p>\n
Bir di\u011fer \u00f6nemli bulgu, daha \u00f6nce hi\u00e7 tarama yapt\u0131rmam\u0131\u015f ki\u015filerle ilgili. Bu ki\u015filer genellikle istikrars\u0131z semtlerde ya\u015f\u0131yor, s\u0131k s\u0131k ev de\u011fi\u015ftirme ve sosyal destek eksikli\u011fi sa\u011fl\u0131k hizmetlerine eri\u015fimi zorla\u015ft\u0131r\u0131yor. Program, d\u00fczenli t\u0131bbi takibin olmamas\u0131n\u0131n hastal\u0131k kar\u015f\u0131s\u0131nda e\u015fitsizlikleri art\u0131rd\u0131\u011f\u0131n\u0131 ortaya koydu.<\/p>\n
Dan\u0131\u015fma ba\u015f\u0131na maliyet yakla\u015f\u0131k 200 euro oldu; ancak kanserlerin erken te\u015fhisi sayesinde sa\u011flanan tasarruflar bu yat\u0131r\u0131m\u0131 dengeleyebilir. Ger\u00e7ekten de, ileri evrede kanser tedavisi, erken te\u015fhis edilmesinden \u00e7ok daha pahal\u0131ya mal oluyor. Organizat\u00f6rler, bu t\u00fcr giri\u015fimlerin, aile hekimleri s\u0131k\u0131nt\u0131s\u0131 \u00e7eken di\u011fer b\u00f6lgelere hatta \u00fclkelere de yay\u0131labilece\u011fini vurguluyor.<\/p>\n
Bu program\u0131n \u00f6zg\u00fcnl\u00fc\u011f\u00fc, basitli\u011finde yat\u0131yor: kat\u0131l\u0131mc\u0131lar randevu almak i\u00e7in doktor arac\u0131l\u0131\u011f\u0131na ihtiya\u00e7 duymadan \u00e7evrimi\u00e7i veya telefon yoluyla ba\u015fvurabildiler. Testler, toplum sa\u011fl\u0131\u011f\u0131 merkezlerinde organize edildi ve sonu\u00e7lar takip kay\u0131plar\u0131n\u0131 \u00f6nlemek i\u00e7in merkezile\u015ftirildi. Yerel derneklerle yak\u0131n i\u015fbirli\u011fi, genellikle ula\u015f\u0131lmas\u0131 zor n\u00fcfuslara, \u00f6rne\u011fin g\u00f6\u00e7menlere veya yoksul ki\u015filere ula\u015fmay\u0131 sa\u011flad\u0131.<\/p>\n
Bu deneyim, birincil sa\u011fl\u0131k hizmetleri krizinde bile taramadaki e\u015fitsizliklerin azalt\u0131labilece\u011fini kan\u0131tl\u0131yor. Korunmay\u0131 iyile\u015ftirmek ve hayat kurtarmak i\u00e7in somut \u00e7\u00f6z\u00fcmlerin yolunu a\u00e7\u0131yor.<\/p>\n
DOI\u00a0:<\/strong> https:\/\/doi.org\/10.17269\/s41997-026-01169-y<\/a><\/p>\n Titre\u00a0:<\/strong> An ounce of \u201csuperscreener\u201d: A novel cancer screening program targeting unattached individuals<\/p>\n Revue : <\/strong> Canadian Journal of Public Health<\/p>\n \u00c9diteur : <\/strong> Springer Science and Business Media LLC<\/p>\n Auteurs : <\/strong> Anna N. Wilkinson; Kate Volpini; Amriya Naufer; Andrea Miville; Chantal Lalonde; Erika Kamikazi; Sarah Hepworth-Junkin<\/p>\n","protected":false},"excerpt":{"rendered":" \u0130novatif bir program, aile hekimi olmayan ki\u015filerin kanser taramas\u0131na eri\u015fimini iyile\u015ftiriyor mu? Fransa’da oldu\u011fu gibi Kanada’da da milyonlarca ki\u015fi aile hekimine sahip de\u011fil. Bu durum, hastal\u0131klar\u0131n erken te\u015fhisi ve \u00f6l\u00fcmlerin azalt\u0131lmas\u0131 i\u00e7in hayati \u00f6neme sahip olan kanser taramas\u0131na eri\u015fimi zorla\u015ft\u0131r\u0131yor. Ontario’daki Champlain b\u00f6lgesinde y\u00fcr\u00fct\u00fclen bir deneyim, proaktif ve merkezile\u015ftirilmi\u015f bir yakla\u015f\u0131mla bu sorunun \u00fcstesinden gelmenin… Okumaya devam et \u0130novatif bir program, aile hekimi olmayan ki\u015filerin kanser taramas\u0131na eri\u015fimini iyile\u015ftiriyor mu?<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,5,6],"tags":[],"class_list":["post-21","post","type-post","status-publish","format-standard","hentry","category-saglik","category-toplum","category-uluslararasi","entry"],"_links":{"self":[{"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/posts\/21","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/comments?post=21"}],"version-history":[{"count":1,"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/posts\/21\/revisions"}],"predecessor-version":[{"id":22,"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/posts\/21\/revisions\/22"}],"wp:attachment":[{"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/media?parent=21"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/categories?post=21"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thepublichealthreview.com\/tr\/wp-json\/wp\/v2\/tags?post=21"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}