延迟乳腺癌的呈现,诊断和治疗在肯尼亚
Ojuka Daniel1,2, Adiba Ashrafi3, Musibi Alice Muthoni4,5
1Department of Surgery, University of Nairobi, P.O. Box, Nairobi, 19969-00202, Kenya. danielojuka@gmail.com.
Breast cancer research and treatment
|September 5, 2023
概括
肯尼亚的乳腺癌 (BC) 诊断和治疗延迟与社会经济因素和医疗保健系统问题有关. 通过教育和改善转诊来解决这些障碍,可以降低BC死亡率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乳腺癌 (BC) 诊断和治疗延迟是全球重大健康挑战.
- 在肯尼亚,导致这些延迟的因素需要彻底调查,以告知有针对性的干预措施.
研究的目的:
- 评估导致乳腺癌 (BC) 延迟诊断和治疗的多方面的因素,在肯尼亚一家医院进行.
- 确定影响BC护理时间表的社会人口统计学,健康史和医疗保健系统相关因素.
主要方法:
- 采用混合方法方法,将定量和定性数据收集相结合.
- 定量分析涉及回归模型,检查社会人口统计学和健康史因素与诊断和治疗时间表.
- 通过对患者进行深入采访,收集了定性数据,以探索延迟的原因.
主要成果:
- 该研究包括378名女性BC患者,从症状发作到呈现的中位延迟时间为13周,从呈现到诊断的时间为17.5周.
- 较低的社会经济地位,教育程度较低,失业和特定的健康行为与诊断和治疗延迟的增加有关.
- 关键的定性发现表明,财务限制,患者意识有限,以及与医疗保健提供者相关的问题 (错误诊断,罢工) 是延迟的主要原因.
结论:
- 医疗保健系统的重大延误影响了肯尼亚的BC诊断和治疗.
- 社区和提供者对BC的教育,加上快速转诊系统,对于尽量减少延迟和降低BC死亡率至关重要.
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