针对癌症患者与健康相关的社会需求的干预措施
Evan M Graboyes1,2,3, Simon C Lee4,5, Stacy Tessler Lindau6,7,8
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
Journal of the National Cancer Institute
|January 4, 2024
概括
在癌症治疗中,解决与健康相关的社会需求 (HRSN) 是至关重要的. 本评论概述了设计临床试验的策略和挑战,以测试HRSN干预措施,旨在减少不平等并改善患者的结果.
科学领域:
- 癌症 护理 提供 研究 研究
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 与健康相关的社会需求 (HRSN) 显著影响癌症患者的健康后果,并导致不平等.
- 缺乏临床试验证据阻碍了在瘤学中有效的HRSN干预.
- 专家们召开会议,计划对癌症患者进行查和治疗HRSN的研究.
研究的目的:
- 讨论设计和测试癌症患者的HRSN干预措施的理由和挑战.
- 分析特定HRSN干预措施 (食品,住房,公用事业,安全,交通) 的现有证据.
- 为癌症护理中HRSN提出实际建议和未来的研究议程.
主要方法:
- 专家咨询和临床试验规划会议.
- 使用5A框架对各种HRSN干预措施的证据分析.
- 跨界和特定干预策略的表征.
主要成果:
- 对于HRSN干预措施的证据成熟度有所不同,交通是最发达的,人际安全是最不发达的.
- 建议包括利用导航,多层次干预,并将HRSN视为波动状态.
- 讨论了并发干预和社区合作伙伴的合作,强调了规划,伙伴关系和资金.
结论:
- 在癌症护理中设计和测试HRSN干预措施需要仔细规划和解决证据缺口.
- 建议采用多层次和基于导航的方法来识别和解决患者的需求.
- 概述了未来的研究议程,以推进瘤学中的HRSN领域.
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