在南非艾滋病毒感染者中使用癌症诊断服务:一个横截面研究
Victor Olago1,2, Gideon Nimako2,3, Lina Bartels4
1National Cancer Registry (NCR), National Health Laboratory Service (NHLS), Johannesburg, South Africa.
medRxiv : the preprint server for health sciences
|September 25, 2023
概括
在南非,艾滋病毒感染者 (PWH) 的癌症诊断揭示了卫生系统的重大不平等. 许多PWH前往癌症诊断,高省因转诊而过度负担,突出了平等获取的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在南非,在获得医疗保健方面的不平等仍然存在.
- 了解艾滋病毒感染者 (PWH) 中癌症诊断的地理分布对于有针对性的干预至关重要.
- 艾滋病毒和癌症的同时出现给医疗保健系统带来了独特的挑战.
研究的目的:
- 在南非的PWH中绘制与人类免疫缺陷病毒 (HIV) 护理中心有关的癌症诊断的地理分布图.
- 确定不同省份在获得癌症诊断服务方面的差异.
主要方法:
- 链接了2004-2014年艾滋病毒和癌症诊断的国家实验室数据.
- 雇员监督的机器学习算法用于数据链接.
- 进行了横截面分析,将艾滋病毒治疗地点与癌症诊断地点进行比较.
主要成果:
- 这项研究分析了68284名艾滋病毒和癌症患者.
- 25%的PWH在居住省以外寻求癌症诊断,其中许多人转移到高省.
- 观察到显著的省级差异,KwaZulu-Natal (KZN) 显示了高的省外转诊,而西开普州显示了高的省内诊断.
结论:
- 卫生系统在癌症诊断方面的不平等存在于南非各省.
- 高省面临着由于来自其他地区的转介而增加的负担.
- 需要加大努力,以确保全国所有PWH获得平等的癌症诊断服务.
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