乳腺癌治疗的短期和长期财务毒性:一种定性研究
Sandy Lee1, Ramona G Olvera2, Karen Shiu-Yee3
1Division of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.
概括
金融毒性显著影响乳腺癌患者,特别是那些来自边缘化群体的患者. 持续的支持对于管理累积的治疗费用及其对健康的长期影响至关重要.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 乳腺癌治疗成本的上升给患者带来了巨大的经济负担.
- 了解患者对金融毒性的看法是有限的,特别是对于弱势群体.
- 与癌症治疗相关的医疗和非医疗成本已知有有害影响.
研究的目的:
- 通过乳腺癌患者的生活经验来探索金融毒性.
- 调查来自社会和经济边缘化群体的患者的观点.
- 了解乳腺癌护理中的财务毒性的多面性.
主要方法:
- 对50名被诊断为乳腺癌的女性进行了半结构化采访.
- 包括来自四个高风险群体的参与者:黑人妇女,医疗补助计划注册者,农村居民和40岁或以下的妇女.
- 使用演和归纳编码方法分析了转录的采访数据.
主要成果:
- 确定了两个主要主题:金融毒性的短期和长期影响.
- 短期压力因素包括直接的医疗,非医疗和间接成本.
- 随着治疗的进展,对成本上升的恐惧和财务困难对患者的生活方式和未来前景产生了负面影响.
结论:
- 解决金融毒性的方案需要超越早期干预.
- 患者需要持续的支持来管理累积的治疗费用和由此产生的压力.
- 对于面临金融不稳定的边缘化群体而言,长期支持尤为重要.
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