{"id":2175,"date":"2025-08-09T20:22:20","date_gmt":"2025-08-09T19:22:20","guid":{"rendered":"https:\/\/hub.solacelung.eu\/professionals\/neparticiparea-si-iesirea-din-program\/"},"modified":"2025-10-15T20:21:12","modified_gmt":"2025-10-15T19:21:12","slug":"neparticiparea-si-iesirea-din-program","status":"publish","type":"professionals","link":"https:\/\/hub.solacelung.eu\/ro\/professionals\/set-de-instrumente-de-implementare\/neparticiparea-si-iesirea-din-program\/","title":{"rendered":"Neparticiparea \u0219i ie\u0219irea din program"},"content":{"rendered":"<div class=\"site-padding\">\n<h3 class=\"wp-block-heading\">Accesa\u021bi cele mai recente dovezi care detaliaz\u0103 motivele comune de neparticipare \u0219i dezvolta\u021bi strategii pentru reangajarea participan\u021bilor. Afla\u021bi cum s\u0103 gestiona\u021bi pacien\u021bii care p\u0103r\u0103sesc programul, indiferent dac\u0103 acest lucru se datoreaz\u0103 alegerii pacientului, \u00eendeplinirii condi\u021biilor de eligibilitate sau avizului medical. <\/h3>\n<\/div><div class=\"site-padding\">\n<p><strong>Dovezile arat\u0103:  <\/strong><\/p>\n<\/div><div class=\"site-padding\">\n<ul class=\"wp-block-list\">\n<li><strong>Grupurile de persoane cu cele mai pu\u021bine \u0219anse de participare<\/strong>: persoanele care nu particip\u0103 la programele de depistare a cancerului pulmonar au mai multe \u0219anse s\u0103 fie femei, fum\u0103tori activi, s\u0103 aib\u0103 venituri mai mici, un nivel de educa\u021bie mai sc\u0103zut, un nivel sc\u0103zut de cultur\u0103 \u00een domeniul s\u0103n\u0103t\u0103\u021bii \u0219i s\u0103 nu aib\u0103 un furnizor regulat de asisten\u021b\u0103 medical\u0103 primar\u0103. Percep\u021bia unui risc personal sc\u0103zut, teama de rezultate, priorit\u0103\u021bile concurente \u0219i ne\u00eencrederea \u00een sistemul de s\u0103n\u0103tate sunt motive comune de renun\u021bare (<em>\n  <a href=\"https:\/\/doi.org\/10.1016\/j.cllc.2019.11.016\">Cancerul pulmonar clinic<\/a>\n<\/em>, 2020 \u0219i <em>\n  <a href=\"https:\/\/doi.org\/10.1093\/fampra\/cmw146\">Family Practice<\/a>\n<\/em>, 2017). <br\/><br\/><\/li>\n\n\n\n<li><strong>Bariere practice \u0219i logistice<\/strong>: dificult\u0103\u021bile de transport, distan\u021bele mari de deplasare, orele incomode de programare \u0219i programele de lucru inflexibile afecteaz\u0103 \u00een mod dispropor\u021bionat popula\u021biile dezavantajate din punct de vedere social \u0219i popula\u021biile rurale (<em>\n  <a href=\"https:\/\/doi.org\/10.21037\/tlcr-20-917\">Cercetare transla\u021bional\u0103 privind cancerul pulmonar<\/a>\n<\/em>, 2021).<br\/><a href=\"https:\/\/doi.org\/10.21037\/tlcr-20-917\"><br\/><\/a><\/li>\n\n\n\n<li><strong>Renun\u021barea la programele \u00een curs de desf\u0103\u0219urare<\/strong>: chiar \u0219i atunci c\u00e2nd persoanele \u00eencep screeningul, unele nu revin pentru scan\u0103rile de urm\u0103rire. Printre principalii factori de abandon se num\u0103r\u0103 fumatul actual, statutul socio-economic sc\u0103zut \u0219i lipsa de \u00een\u021belegere a importan\u021bei particip\u0103rii continue<a href=\"https:\/\/doi.org\/10.3892\/ijo.2014.2371\">(International Journal of Oncology<\/a>, 2014).   <br\/><br\/><\/li>\n\n\n\n<li><strong>Integrarea serviciilor de renun\u021bare la fumat poate fi util\u0103<\/strong>: oferirea de servicii de renun\u021bare la fumat \u00een paralel cu screeningul poate \u00eembun\u0103t\u0103\u021bi implicarea \u0219i participarea la screening. \u00cen cadrul studiului Yorkshire Lung Screening Trial, un serviciu de renun\u021bare la fumat cu op\u021biune de renun\u021bare (opt-out), amplasat \u00een acela\u0219i loc, a \u00eenregistrat un grad ridicat de adop\u021bie \u0219i rate promi\u021b\u0103toare de renun\u021bare (<g id=\"gid_1\">\n  <g id=\"gid_2\">Jurnalul respirator european<\/g>\n<\/g>, 2024). Studiile de urm\u0103rire pe termen lung arat\u0103 c\u0103 renun\u021barea integrat\u0103 poate \u00eembun\u0103t\u0103\u021bi reten\u021bia timp de mai mul\u021bi ani<a href=\"https:\/\/doi.org\/10.1016\/j.jtocrr.2020.100097\">(Clinical and Research Reports<\/a>, 2021).    <br\/><br\/><\/li>\n\n\n\n<li><strong>Solu\u021bii la nivel de sistem<\/strong>: Declara\u021bia ESR\/ERS recomand\u0103 metode de invita\u021bie personalizate, mesaje adecvate din punct de vedere cultural \u0219i ac\u021biuni de informare a comunit\u0103\u021bii pentru a \u00eembun\u0103t\u0103\u021bi participarea, \u00een special \u00een grupurile slab deservite (<em>\n  <a href=\"https:\/\/doi.org\/10.1007\/s00330-020-06727-7\">Radiologie european\u0103<\/a>\n<\/em>, 2020).<br\/><br\/><\/li>\n\n\n\n<li><strong>Impactul conformit\u0103\u021bii sc\u0103zute<\/strong>: atunci c\u00e2nd participarea la programe este sc\u0103zut\u0103, num\u0103rul de vie\u021bi salvate prin screening este redus substan\u021bial. Ratele ridicate de conformitate sunt esen\u021biale pentru realizarea beneficiilor \u00een materie de mortalitate demonstrate \u00een studiile clinice (<em>\n  <a href=\"https:\/\/doi.org\/10.1007\/s10552-017-0907-x\">Cancer Causes Control<\/a>\n<\/em>, 2018). <br\/><\/li>\n<\/ul>\n<\/div><div class=\"site-padding\">\n<p><strong>Studii de caz:  <\/strong><\/p>\n<\/div><div class=\"site-padding\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/liverpoollungproject.org.uk\/liverpool-lung-project\/\">Proiectul pulmonar Liverpool<\/a><\/li>\n<\/ul>\n<\/div><div class=\"site-padding\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/doi.org\/10.1186\/ISRCTN42704678\">Studiul Yorkshire de screening pulmonar<\/a><\/li>\n<\/ul>\n<\/div><div class=\"site-padding\">\n<p><\/p>\n<\/div>","protected":false},"featured_media":0,"parent":3246,"menu_order":7,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2175","professionals","type-professionals","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - 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