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Navegación en la atención del cáncer en Ucrania: estrategias de afrontamiento de los pacientes para garantizar el
Olena Levenets1, Tetiana Chernysh2, Milena Pavlova3
1Department of Health Services Research; CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands. olenkalevenets@gmail.com.
Cancer causes & control : CCC
|September 2, 2025
Resumen
Los pacientes con cáncer en Ucrania usan varias estrategias de afrontamiento influenciadas por factores socioeconómicos y acceso a la atención médica. Estas estrategias, incluidos los pagos informales, son vitales para navegar por el tratamiento y acceder a los servicios.
Área de la Ciencia:
- En el campo de la oncología
- Economía de la salud
- Salud pública
Sus antecedentes:
- Los pacientes con cáncer en Ucrania enfrentan desafíos significativos para acceder y pagar el tratamiento.
- El estatus socioeconómico y las percepciones del sistema de salud influyen fuertemente en las experiencias de los pacientes.
Objetivo del estudio:
- Investigar cómo los factores socioeconómicos y sanitarios afectan las estrategias de afrontamiento de los pacientes con cáncer en Ucrania.
- Comprender la influencia de estos factores en el acceso al tratamiento, la calidad y la reducción de costos.
Principales métodos:
- Datos recopilados en 2021 a través de entrevistas estructuradas y cuestionarios en línea de 632 pacientes ucranianos con cáncer.
- Análisis de regresión logística secuencial utilizado para identificar patrones en la selección de estrategias de afrontamiento.
Principales resultados:
- Las características socioeconómicas, la calidad del servicio percibido, los recursos financieros y la disponibilidad de apoyo afectan las opciones de estrategia de afrontamiento.
- Los pacientes mayores y las mujeres usan con más frecuencia pagos informales en lugar de conexiones.
- La mala calidad percibida del servicio y los problemas de asequibilidad se correlacionan con un mayor uso de estrategias de afrontamiento.
Conclusiones:
- Existen diferencias significativas en las estrategias de afrontamiento del tratamiento del cáncer en Ucrania.
- Los pagos informales y las conexiones son fundamentales para acceder y garantizar una atención de calidad contra el cáncer.
- Se necesitan políticas basadas en la evidencia para apoyar a los pacientes con cáncer vulnerables en Ucrania.
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