癌症相关的财务困难查作为实践转型的一部分
Courtney P Williams1, Margaret I Liang2, Gabrielle B Rocque1
1Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Medical care
|November 14, 2023
概括
癌症患者的财务困难查是可行的,并揭示了显著的种族差异. 黑人,土著和有色人种 (BIPOC) 患者经历了更高的财务困难,突出了针对性干预的需要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 经济困难是癌症患者的一个显著不良事件.
- 关于经济困难的数据对于政策和支持性护理干预至关重要.
- 减少癌症患者的不良经济结果需要更好的数据收集.
研究的目的:
- 在瘤病患者中试点进行非专业导航员领导的财务困难选.
- 评估财务困难选的可行性和完成率.
- 通过患者的种族和农村地区来确定财务困难和困难的差异.
主要方法:
- 财务困难查被整合到针对瘤病人的标准治疗计划调查中.
- 查包括报告的财务困难和困难.
- 计算了可行性,完成率和困难/困难比例,并通过社会人口统计学分析风险.
主要成果:
- 90%的患者完成了财务困难选,超过了75%的可行性目标.
- 34%的患者报告说有财务困难,其中49%的BIPOC患者经历了困难,而白人患者的这一比例为30%.
- BIPOC患者的财务困难风险增加了48%,并且报告说,公用事业,医疗支付和运输方面存在更大的困难.
结论:
- 在例行临床护理中收集患者报告的财务困难数据是可行的.
- 常规查在癌症治疗开始时发现了显著的种族不平等.
- 收集经济数据对于设计改善公平性和减少金融困难影响的干预措施至关重要.
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