乳腺癌,前列腺癌,肺癌和结肠癌后幸存者在医疗保健使用方面的教育差异 - - SEQUEL队列研究
Anne Katrine Graudal Levinsen1, Trille Kristina Kjaer2, Thomas Maltesen3
1Survivorship and Inequality in Cancer, Danish Cancer Institute, 49 Strandboulevarden, Copenhagen, 2100, Denmark. akgl@cancer.dk.
BMC health services research
|June 22, 2023
概括
癌症幸存者比没有癌症史的人使用更多的医疗保健服务. 教育程度较低的幸存者增加了对全科医生和急性护理的访问,突出了了解他们特定医疗保健需求的需要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 癌症幸存者经常经历长期的健康问题 (晚期影响).
- 伴随性疾病,健康素养和社会经济地位等因素影响幸存者在医疗保健中使用医疗保健.
- 在各种社会经济群体中,医疗保健使用模式存在差异.
研究的目的:
- 为了比较癌症幸存者和无癌症个体之间的医疗保健利用率.
- 调查教育程度如何影响癌症幸存者使用医疗保健.
- 识别医疗保健获取和利用癌症后治疗的差异.
主要方法:
- 一项大规模的丹麦队列研究包括127,472名癌症幸存者 (乳腺,前列腺,肺,结肠) 和637,258名无癌症对照.
- 医疗保健使用 (全科医生,私人专家,医院,急性接触者) 在诊断后1-9年内使用国家注册表进行了跟踪.
- 普森回归模型被用来分析基于癌症状况和教育水平的医疗保健使用差异.
主要成果:
- 与没有癌症的个人相比,癌症幸存者表现出更高的全科医生,医院和急性医疗保健接触率.
- 低学历的幸存者与高学历的幸存者相比,与全科医生和急性护理接触的次数显著增加,即使在调整并发症后也是如此.
- 在较低的教育和私人执业专家的使用之间发现了一个显著的反向关联.
结论:
- 癌症幸存者比没有癌症的同行需要更多的医疗保健资源.
- 教育差异显著影响癌症幸存者寻求医疗保健的行为和利用模式.
- 有针对性的干预措施和进一步的研究对于解决癌症幸存者的特殊医疗保健需求至关重要,这些癌症幸存者的教育背景较低.
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