在无家可归期间的癌症护理和治疗
1Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
The Lancet. Oncology
|February 1, 2024
概括
无家可归的人面临着巨大的癌症护理差异. 改善接入需要社区伙伴关系,定制支持和政策变化,以获得更好的癌症结果.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无家可归的人群经历了更高的癌症风险和死亡率.
- 癌症治疗的进步并没有公平地惠及那些经历无家可归的人.
- 显著的障碍阻碍了这一群体获得及时有效的癌症护理.
研究的目的:
- 审查有关改善无家可归者获得癌症护理的干预措施的现有证据.
- 确定向服务不足的人群提供瘤服务的挑战和机遇.
- 突出提高无家可归者癌症预防,治疗和随访护理的策略.
主要方法:
- 关于无家可归人口癌症护理干预措施现有证据的文献综述.
- 分析获得癌症治疗的挑战,包括预防和后续护理.
- 讨论潜在的战略和政策影响.
主要成果:
- 社区联盟,病例管理,移动健康和专业住房等干预措施显示出希望.
- 预防性护理,数据收集,政策努力和住房宣传至关重要.
- 多学科方法和综合护理模式至关重要,但往往无法获得.
结论:
- 解决无家可归人口中的癌症差异需要采取多方面的方法.
- 社区参与,量身定制的支持系统和改善的住房对于公平的癌症护理至关重要.
- 政策变化和有针对性的干预措施可以改善无家可归者的癌症结果.
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