态度,感知障碍,和挑战对实施资源适当的指导方针血液恶性瘤:医生在埃塞俄比亚的调查
Obsie T Baissa1, Workagegnehu Hailu2, Fisihatsion Tadesse3
1Faculty of Medicine, Braun School of Public Health Community Medicine, Hadassah Medical Organization, Hebrew University of Jerusalem, Jerusalem, Israel.
JCO global oncology
|October 5, 2023
概括
埃塞俄比亚对国家综合癌症网络 (NCCN) 非洲撒哈拉以南地区协调指南 (NCCN-HG) 的认识和使用程度较低. 有限的设施,疗法和患者因素阻碍了有效的癌症护理和遵守指南.
科学领域:
- 血液学恶性瘤是什么
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 低收入国家的癌症护理面临着重大挑战.
- 资源适应的指导方针,如NCCN对撒哈拉以南非洲的协调指导方针 (NCCN-HG),可以促进癌症治疗.
- 了解医生的态度和障碍对于实施指南至关重要.
研究的目的:
- 评估埃塞俄比亚医生对癌症治疗指南的态度和知识.
- 确定影响埃塞俄比亚NCCN-HG有效实施的障碍和决定因素.
- 了解影响癌症护理结果的患者和资源相关因素.
主要方法:
- 在埃塞俄比亚的医生中进行了一项在线调查,这些医生治疗血液性恶性瘤.
- 该调查评估了人们对指导方针的态度,机构能力和有效护理的障碍.
- 参与者包括瘤学家,血液学家,内科医生和全科医生.
主要成果:
- 只有22.7%的受访医生使用了NCCN-HG,尽管85%使用了某种形式的指南.
- 57.8%的熟悉NCCN-HG的人仍未决定或认为它降低了护理标准.
- 缺乏诊断设施,支持性护理,患者放弃治疗,以及有限的化学疗法/放射疗法和向疗法被确定为主要障碍.
结论:
- 埃塞俄比亚医生对NCCN-HG的认识和利用是有限的.
- 遵循指南的障碍包括设施,治疗,监管和患者相关因素不足.
- 这些因素显著导致血液恶性瘤患者的不良结果.
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