日本与癌症治疗相关的金融毒性:一个范围审查
Yuki Itani1, Kyoko Obama1, Maiko Fujimori1
1Division of Survivorship Research, National Cancer Center Institute for Cancer Control, Tokyo, Japan.
Frontiers in psychology
|August 18, 2023
概括
由于治疗费用,日本许多癌症幸存者经历了财务上的毒性. 提高对支持系统的认识和利用对于减轻这些经济困难至关重要.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 患者倡导 患者倡导
背景情况:
- 金融毒性是全球癌症幸存者的重要问题,特别是在美国.
- 经济状况和医疗保健系统严重影响金融毒性.
- 在日本,关于金融毒性的证据仍然有限.
研究的目的:
- 系统地审查有关日本癌症患者金融毒性的现有文献.
- 综合患者,家庭和医疗保健提供者关于金融毒性的经验.
- 在日本背景下识别风险因素,应对策略和金融毒性的影响.
主要方法:
- 在PubMed和Ichushi数据库中进行系统的文献搜索.
- 包括专门针对日本的英语和日语同行评审文章以及金融毒性经验.
- 提取的数据的主题综合,重点关注患者,家庭和提供者的观点.
主要成果:
- 确定了31篇相关文章,涵盖风险因素,描述,心理反应,应对策略和治疗结果的影响.
- 目前的低收入和年轻年龄被确定为金融毒性的高风险因素.
- 观察到支持系统 (高成本医疗费用,疾病福利,医疗费用扣除系统) 的利用不足.
结论:
- 在日本,大量的癌症患者遭受财务毒性.
- 意识不足和利用可用的支持系统的低水平有助于解决这个问题.
- 建议包括加强患者提供者沟通,改善系统可访问性,重新设计支持结构,提高公众意识.
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