安全网医院的外科癌症护理:系统性审查
Paul Wong1, Gregory P Victorino1,2, Javid Sadjadi3
1Department of Surgery, University of California, San Francisco, 1411 E 31St Street, Oakland, CA, 94602, USA.
概括
安全网医院 (SNH) 对需要手术癌症护理的弱势群体至关重要. 这次审查发现了护理的重大障碍,包括财务和语言问题,导致疾病在呈现时晚期和混合生存结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 手术护理 手术护理
背景情况:
- 在美国,三级医疗中心为大量的手术癌症护理制定了标准.
- 安全网医院 (SNHs) 是弱势群体的主要提供者,解决复杂和常规的医疗保健需求.
- 评估SNHs内外科瘤护理的获取和质量至关重要.
研究的目的:
- 评估美国安全网医院提供的外科瘤服务的可访问性和质量.
- 为了确定在SNHs.在癌症护理服务的挑战和差异.
主要方法:
- 从2000年1月到2021年10月,进行了一项系统的文献审查.
- 搜索的数据库包括PubMed,EMBASE和科克兰图书馆.
- 研究的重点是美国SNH的胃肠道,肝胆或乳腺癌患者的手术护理.
主要成果:
- 37项研究满足了纳入标准,其中乳腺癌 (43%) 是最常见的,其次是结直肠 (30%) 和肝胆腺癌 (16%).
- 发现的障碍包括财务限制,文化/语言差异和保险限制.
- 在SNHs的患者经常出现晚期疾病 (24-61%);与非SNHs相比,癌症存活结果各不相同,并且混合.
结论:
- 显著的障碍阻碍了SNH患者的手术癌症护理的获取和质量.
- 需要改善SNH患者的护理获取和质量.
- 未来的医疗保健模式应该旨在建立一个综合的癌症系统,超越双层医院结构.
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