管理负担与美国癌症患者的费用相关的护理延迟有关
Meredith Doherty1, Bridgette Thom2, Daniel S Gardner3
1School of Social Policy and Practice, University of Pennsylvania, Philadelphia, Pennsylvania.
概括
癌症患者面临与医疗保健支付相关的重大行政负担. 增加的行政任务与癌症护理的延迟和不遵守有关,不成比例地影响年轻人和非裔美国患者.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 患者倡导 患者倡导
背景情况:
- 美国癌症患者经常遇到与医疗保健支付相关的行政任务.
- 这些行政职责可能会影响癌症护理的可及性和连续性.
研究的目的:
- 调查行政支付任务与及时获得癌症护理之间的关联.
- 确定行政负担与癌症患者的成本相关延误和不遵守相关的程度.
主要方法:
- 分析了来自510名美国癌症患者和癌症幸存者的在线调查数据.
- 利用两部分建模来评估行政负担与成本相关的延误/不遵守之间的关系.
主要成果:
- 较年轻的患者 (≤44岁) 和非裔美国患者报告的支付任务和与成本相关的护理延迟率较高,分别高于老年人和白人患者.
- 每个单位增加的行政支付负担都与32%的成本相关延误/不遵守增加有关.
- 具有更多行政任务的患者延迟或放弃护理的几率明显更高 (日志几率 = 0.18).
结论:
- 行政支付负担显著增加了49%的与成本相关的延迟和癌症护理不遵守的几率.
- 这些负担表现为错过的预约,测试和处方的履行.
- 缺乏服务的人群,包括年轻人和非裔美国患者,面临着不成比例的困难,突出了医疗保健获得的系统性不平等.
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