癌症患者的财务毒性以及随后重复使用急性护理的风险
Julia J Shi1, J Alberto Maldonado1,2, Chi-Fang Wu3
1Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Frontiers in psychology
|September 4, 2023
概括
癌症患者的金融毒性 (FT) 显著增加了急性护理访问的风险. 经历严重财务压力的患者,特别是应对资源枯竭的患者,面临重复住院和急诊室使用的风险更高.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 癌症患者的急症护理 (AC) 访问对个人和医疗保健系统构成重大财务负担.
- 了解导致AC利用的因素对于优化癌症护理和资源配置至关重要.
研究的目的:
- 确定较高的初始财务毒性 (FT) 负担是否预测成人癌症患者急性护理利用风险增加.
- 调查FT (全球,物质,应对) 和AC访问的不同维度之间的关联.
主要方法:
- 进行了一项针对 225 位接受门诊护理的成人癌症患者的前性研究.
- 基线财务毒性使用多维得分进行测量.
- 紧迫护理访问 (急诊室访问和计划外入院) 被追踪了一年.
主要成果:
- 18.6%的患者在随访期间至少进行过一次AC检查.
- 较高的全球FT负担与重复AC检查的风险增加显著相关 (RR = 1.17).
- 耗尽的应对资源 (应对FT) 强烈预测了重复的AC访问 (RR = 1.27),而物质FT显示了趋势.
结论:
- 金融毒性是癌症患者急性护理利用的重要预测因素.
- 患有严重物质和应对FT负担的患者面临重复AC访问的特别高风险.
- 进一步研究早期FT查和干预是有必要的,以减少急性护理负担.
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