小児腫瘍学における財政的困難と健康に関連する社会的ニーズ:体系的なスクリーニングの実践レベル分析
Melissa P Beauchemin1,2, Kathryn Henschel3, David DeStephano2
1School of Nursing, Columbia University Irving Medical Center, New York, New York, USA.
Pediatric blood & cancer
|September 1, 2025
まとめ
小児腫瘍学では,財政的困難と健康関連の社会的ニーズ (HRSN) の体系的なスクリーニングが可能である. このアプローチは リスクのある家族を特定し 患者の治療結果を改善するために 適切な介入を可能にします
科学分野:
- 小児腫瘍学
- 医療サービス研究
- 健康の社会的決定因子
背景:
- 小児腫瘍学では,財政的困難と健康関連の社会的ニーズ (HRSN) のスクリーニングが推奨されます.
- 現在の実践は様々で,標準化された実施は限られている.
- ニューヨーク市の小児腫瘍科クリニックで 体系的なスクリーニングが実施されました
研究 の 目的:
- 小児腫瘍外科クリニックでの財政的困難とHRSNスクリーニングの実施を評価する.
- 回答率を分析し,財政的困難とHRSNの流行を決定する.
- 多角的なスクリーニングアプローチの実現可能性を評価する.
主な方法:
- 評価された財政的困難 (2項目) とHRSN (8項目) のスクリーニング
- ソーシャルワークチームによる個人スクリーニングと EHRポータルでの直接スクリーニングが利用されました.
- 2年間の18歳未満の患者について,EHRから抽出したデータ.
主要な成果:
- 621人の小児がん患者の76%がスクリーニングに反応した.
- ヒスパニック系と非ヒスパニック系の黒人の患者は,より高い反応率を示した.
- 21%が食糧不足を報告し,76%が財政的困難を報告し,ヒスパニック系と非ヒスパニック系の黒人患者の割合は高かった.
結論:
- 小児腫瘍学における財政的困難とHRSNの体系的なスクリーニングは,多角的なアプローチによって実現可能である.
- リスクのある家族を早期に特定するには スクリーニングが不可欠です
- 早期の介入は 金融危機を予防し 患者/家庭の成果を向上させることができます
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