与美国医疗保健系统的经验,为黑人和白人患有晚期前列腺癌的患者
Emily M Rencsok1,2, Konrad H Stopsack1, Natalie Slopen3
1Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Cancer
|May 29, 2023
概括
与白人患者相比,晚期前列腺癌的黑人患者报告了更高的护理质量,包括更好的治疗信息和支持. 需要进一步的研究来了解癌症护理中的这些差异.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 护理质量和患者体验对于晚期前列腺癌的存活率至关重要.
- 在美国,医疗保健体验中的种族差异仍然存在.
- 了解患者根据种族报告的结果对于公平的癌症护理至关重要.
研究的目的:
- 为了比较报告的经验与治疗信息,护理整合,以及黑人和白人之间对晚期前列腺癌患者的尊重.
- 确定晚期前列腺癌患者获得的护理质量的潜在种族差异.
主要方法:
- 在国际前列腺癌晚期男性登记册 (International Registry for Men with Advanced Prostate Cancer) 中对701名参与者进行了前性队列研究,其中20%的参与者是黑人.
- 在研究招生时使用了来自澳大利亚癌症国家癌症控制指标的六个问题.
- 运用了后勤-正常混合效应模型的边际标准化,以估计根据种族的流行差异,调整共变量.
主要成果:
- 大多数参与者报告了高质量的护理.
- 黑人参与者通常报告的护理质量高于白人参与者.
- 与白人参与者相比,黑人参与者更频繁地报告获得书面护理计划 (71%vs. 58%) 和支持人员信息 (64%vs. 52%).
结论:
- 与白人相比,患有晚期前列腺癌的黑人报告说,与白人相比,护理质量普遍更高.
- 强调需要调查介导因素和护理的人际关系方面,以提高这一群体的生存率.
- 建议针对前列腺癌护理的有针对性的质量改善举措的潜在领域.
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