使用现有卫生系统数据,对癌症患者的经济困难进行了多维评估
Wen You1, Asal Pilehvari1, Ruoding Shi1
1University of Virginia Comprehensive Cancer Center, Charlottesville, Virginia, USA.
Cancer medicine
|November 21, 2023
概括
通过使用卫生系统数据,可以改进财务困难选. 一个新的综合指数识别了有风险的癌症患者,揭示了关键干预时间和需要支持的患者子组.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 目前的金融困难选方法不足,无法捕捉到问题的复杂性和变化.
- 卫生系统数据为财务困难查提供了可扩展和可持续的解决方案.
研究的目的:
- 开发和验证一个综合指数,以使用现有卫生系统数据进行全面的财务困难选.
- 确定关键干预时期和经历经济困难的患者子组.
主要方法:
- 利用了303名成年癌症患者的数据,整合了电子健康记录,应急查和癌症登记数据.
- 构建了一个综合指数,评估财务困难的物质,心理和应对方面.
- 采用了分数试验模型来分析财务困难的动态随着时间的推移,按年龄和癌症类型.
主要成果:
- 综合指数确定了不同于单维标准的风险患者,通常是年轻人,收入较高但保险覆盖率较低.
- 确定的关键干预时期包括诊断前,诊断后2年和6年.
- 特定的子组在诊断后2年和4年内面临财政困难的差异.
结论:
- 现有的卫生系统数据使得系统,可扩展和可持续的财务困难测量成为可能.
- 经济困难的尺寸随着时间的推移和患者子组的不同而变化,为有针对性的干预提供了信息.
- 目前数据的可用性限制了这个选算法的可扩展性.
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