卫生系统整合和癌症中心 农村医院的医院接入
Chimaraije N Amu-Nnadi1, Elizabeth S Ross2, Natalie H Garcia3
1Rutgers University, New Brunswick, NJ, USA.
The American surgeon
|December 11, 2023
概括
整合癌症中心的卫生系统并没有增加农村医院获得专门癌症护理的机会. 当前的卫生政策可能无法改善农村人口的外科治疗机会.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 认可的癌症中心提供卓越的护理,但面临着农村人口的可访问性挑战.
- 整合癌症中心的卫生系统可能会改善接入,但它们到达农村医院的程度尚不清楚.
研究的目的:
- 确定是否有认可的癌症中心的卫生系统更有可能包括农村医院.
- 评估卫生系统整合对农村获得癌症护理的影响.
主要方法:
- 将认可的癌症中心数据与卫生系统数据联系起来,以对系统进行分类.
- 通过使用双变量测试和多变量逻辑回归,与癌症中心和没有癌症中心的卫生系统对农村医院的存在进行了比较.
主要成果:
- 72%的卫生系统包括经过认证的癌症中心;这些系统不太可能包括农村医院 (11%与6%相比).
- 较大的医疗系统和拥有更多学员的医疗系统更有可能拥有癌症中心.
- 不属于医疗系统的癌症中心在非大都市地区不成比例地为低复杂性患者服务.
结论:
- 卫生系统整合本身并没有增加包含癌症中心的系统内农村医院的存在.
- 当前的卫生政策和激励措施可能无法通过卫生系统整合来确保农村地区扩大获得癌症外科护理的机会.
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