カナダの農村部や遠隔地の住民のがん関連のケア: スコーピングレビュー
Jacqueline Galica1, Agnès Alsius2, Sania Sahi2
1Queen's University School of Nursing, Kingston, Ontario; Queen's Cancer Research Institute, Division of Cancer Care and Epidemiology; Kingston, Ontario.
まとめ
カナダの農村部におけるがん治療の障壁をまとめ,様々な定義と治療/ケア段階に焦点を当てています. これは遠隔地での医療サービスの改善のための 研究のギャップを突出しています
科学分野:
- 医療サービス研究
- 田舎の健康
- 腫瘍学
背景:
- カナダの農村部や遠隔地の住民の間で がん治療の格差がある.
- これらの障壁を理解することは 研究と医療サービスの優先順位を決める上で極めて重要です
- これらの集団が直面するユニークな課題を特定するために,既存の文献の合成が必要です.
研究 の 目的:
- カナダの田舎や遠隔地に住む人々に関するがんに関する文献を統合する.
- これらの集団が経験する癌関連のケアへの障壁を特定し理解する.
主な方法:
- JBIのスコーピングレビュー方法が採用されました.
- 抽出したデータには,農村部/遠隔地,がんケア継続段階,地理的表現,がん診断の定義が含まれています.
- 合成には45件の研究が含まれていた.
主要な成果:
- 農村や遠隔地の定義は,含まれている研究によって大きく異なっていた.
- がん連続体の治療/ケア段階が最も頻繁に扱われた (18 研究),次にスクリーニング (12 研究).
- 乳がんと結腸直腸がんは,研究された最も一般的な診断 (それぞれ20例と18例) で,ほとんどの研究は定量的な設計を使用した (31例).
結論:
- このレビューは,カナダの農村部や遠隔地の人々に関するがん研究の現状を明らかにしています.
- 研究結果は,特に定義と特定のケアフェーズに関する文献の大きなギャップと違いを明らかにしています.
- 将来の研究方向と保健サービスの優先順位に関する影響が示されています.
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