评估那些服务于弱势群体的人的需求:美国瘤临床医生之间的定性研究
Manali I Patel1,2, Leslie Hinyard3, Fay J Hlubocky4
1Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Cancers
|July 14, 2023
概括
由于资源的识别,患者的需求和临床医生的倦怠,癌症护理差异仍然存在. 解决这些障碍可以改善为服务不足的人群提供公平的癌症护理.
科学领域:
- 在瘤学瘤学.
- 健康 公平 卫生 公平
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国临床瘤学会成立了"为欠缺者服务的支持提供者" (SUS) 工作组.
- 该工作组的目标是支持癌症临床医生为处于差距风险的人群提供服务.
- 最初的重点是探索公平癌症护理的障碍和促进因素.
研究的目的:
- 确定影响癌症护理提供给服务不足的人群的障碍和促进因素.
- 为高风险地区的临床医生提供支持的建议提供信息.
- 了解为低收入和少数群体服务的临床医生的经验.
主要方法:
- 针对美国各地主要为低收入和种族/种族少数群体提供服务的临床医生的有目的抽样.
- 进行了半结构面试 (30-60分钟).
- 对转录的采访数据进行了主题分析.
主要成果:
- 确定了关键障碍:缺乏执行领导人对资源的认可,患者的社会经济需求和临床医生倦怠.
- 确定了关键促进者:提供者承诺和体验式培训.
- 结果突出了可修改的障碍和潜在的解决方案.
结论:
- 提供公平的癌症护理需要解决已确定的障碍.
- 提供商的承诺和培训是关键的促进者.
- 研究结果可以指导减少癌症差异的策略.
相关概念视频
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
Cancer Survival Analysis
394
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...
394
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
Specialized Care Centers and Settings-II
757
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
757
Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K


