在爱荷华州直肠癌患者中,诊断提供商,推模式,设施类型和患者满意度
Sarah Nash1,2, Kristin Weeks3, Amanda R Kahl2
1Department of Epidemiology, College of Public Health, University of Iowa, 145 N Riverside Dr., IA, 52242, Iowa City, USA.
被同一位整形外科医生诊断和治疗直肠癌的患者不太可能在拥挤的医院接受治疗. 这凸显了供应商推对于集中治疗直肠癌的重要性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高体积的中心与更好的直肠癌护理和治疗结果有关.
- 提供者专业可能会影响患者转诊到大量治疗设施.
研究的目的:
- 检查在爱荷华州诊断提供者专业和治疗提供者/直肠癌患者的设施之间的关联.
- 确定影响直肠癌患者是否在高人数中心接受治疗的因素.
主要方法:
- 通过爱荷华州癌症登记处 (Iowa Cancer Registry) 识别的直肠癌患者邮寄了一项调查.
- 定义了提供者专业和推模式.
- 后勤回归分析了一般外科医生诊断和治疗的预测因素.
主要成果:
- 267名患者完成了调查;20%的患者被同一位外科医生诊断和治疗.
- 老年患者,受教育程度较低的患者和收入较低的患者更有可能被诊断的全科医生治疗.
- 被同一个全科医生治疗的患者更有可能在低体积的医院接受手术,并且报告满意度较低.
结论:
- 被同一提供者诊断和治疗与爱荷华州直肠癌患者的治疗量较低有关.
- 提供者推在专业化,高容量设施中集中直肠癌护理方面发挥着至关重要的作用.
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