对于宫癌患者的病理诊断后的保险状况和放射治疗时间
Daniel H Saris1, Daniella Pena2, Ashley F Haggerty3
1Pennsylvania Hospital, University of Pennsylvania Health System, Department of Obstetrics and Gynecology, Philadelphia, PA, United States.
Gynecologic oncology reports
|July 3, 2023
概括
患有局部晚期宫癌 (LACC) 的患者由于保险状况而延迟开始治疗,面临更差的生存结果. 医疗补助患者在获得放射性瘤治疗方面经历了显著的延迟,突出了改善导航服务的关键需求.
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 公平 卫生 公平
背景情况:
- 延迟治疗局部晚期宫癌 (LACC) 与降低生存率有关.
- 了解这些治疗延迟的原因对于改善患者的治疗结果至关重要.
- 保险状况是影响及时获得癌症护理的潜在因素.
研究的目的:
- 根据保险状况,调查LACC从诊断到治疗开始的时间差异.
- 确定护理途径中出现延迟的特定点.
- 为减轻延迟和改善获得及时癌症治疗的战略提供信息.
主要方法:
- 在单一卫生系统内对被诊断患有LACC的患者进行回顾性图表审查.
- 从诊断到第一次去诊所和开始治疗的时间分析.
- 多变量回归用于调整种族,年龄和保险状况 (医疗补助与私人保险).
主要成果:
- 与私人保险 (31.3天) 相比,医疗补助计划的患者从诊断到第一次放射性瘤诊所的延迟时间 (76.9天) 显着更长.
- 在保险组之间,从第一次放射瘤诊所到开始放射治疗的时间没有显著差异 (22.6 vs 22.2天).
- 接受医疗补助的患者面临的时间是看放射瘤学家的两倍多,这表明在初步获得护理方面,有保险方面的差异.
结论:
- 保险差异显著影响LACC患者初次放射瘤咨询的时间.
- 在第一次咨询后及时开始放射治疗不受保险状况的影响.
- 加强推和患者导航系统对于医疗补助患者至关重要,以确保及时获得放射性瘤服务,并可能提高生存率.
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