医疗补助的扩张与晚期癌症患者的息治疗增加有关
Xuesong Han1, Kewei Sylvia Shi2, Jingxuan Zhao3
1Xuesong Han (xuesong.han@cancer.org), American Cancer Society, Kennesaw, Georgia.
Health affairs (Project Hope)
|July 5, 2023
概括
医疗补助计划的扩张增加了美国晚期癌症患者获得息治疗的机会. 这种扩张促进了基于指导方针的护理,特别是对于那些患有特定晚期癌症的人.
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:
- 临床指南建议在晚期癌症患者的早期息治疗.
- 在美国,息治疗的利用率仍然低于最佳水平.
研究的目的:
- 研究医疗补助扩展与新诊断的晚期癌症患者接受息治疗之间的关联.
- 评估"负担得起的医疗保健法案"的医疗补助扩展对息护理获取的影响.
主要方法:
- 利用国家癌症数据库来获取患者数据.
- 进行了医疗补助扩张和非扩张州之间的比较分析.
- 员工调整了分析以确定收到息护理的净增加.
主要成果:
- 在扩张状态下,收到的息护理增加了1.3个百分点,即医疗补助后的扩张.
- 晚期胰腺癌,结直肠癌,肺癌,口腔/喉癌以及非霍奇金淋巴瘤的增加最为明显.
- 与非扩张状态 (15.7%至16.7%) 相比,扩张状态的增加更大 (17.0%至18.9%).
结论:
- 医疗补助计划的扩大有助于改善高级癌症患者获得指导方针推的息护理.
- 扩大医疗补助计划的覆盖范围证明了癌症护理的切实好处.
- 像医疗补助扩张这样的政策干预可以提高对基本支持性护理服务的公平获取.
相关概念视频
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Cancer Survival Analysis
397
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
397
Standards of Care I
731
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
731
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K


