妇科瘤学的财务毒性:一个多实践调查调查
Anna Jo Smith1,2,3,4, Maya H Sharma5, Kristina Powell6,2
1Department of Obstetrics and Gynecology, University of Pennsylvania Health Systems, Philadelphia, Pennsylvania, USA annajo.smith@pennmedicine.upenn.edu.
概括
财务毒性影响了近一半的妇科癌症患者,不成比例地影响了拥有私人保险的年轻,非白人个人. 解决这一财务负担对于公平的癌症护理至关重要.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 健康差异 在健康上的差异
背景情况:
- 财务毒性是癌症护理的重大负担,与患者的治疗结果较差和生存率降低有关.
- 了解金融毒性的患病率和风险因素对于开发妇科瘤学有针对性的干预措施至关重要.
研究的目的:
- 确定在患有妇科癌症或癌症前期的患者中金融毒性的流行率.
- 为了确定与金融毒性相关的患者特异性风险因素,在多站点医疗系统内.
主要方法:
- 包括金融毒性综合评分 (COST) 工具在内的调查对患有妇科瘤诊断的患者进行了调查.
- 用统计方法分析了498名患者的数据,以比较高 (COST分数<26) 与低 (COST分数≥26) 财务毒性的患者的特征.
主要成果:
- 44%的受访患者经历了金融毒性.
- 较高的财务毒性在年轻的患者,宫癌患者,失业者和拥有私人保险或医疗补助的人群中更为普遍.
- 与私人保险患者相比,医疗保险患者的金融毒性风险较低.
结论:
- 金融毒性是一个广泛的问题,影响了近一半的妇科癌症患者.
- 年龄较小,非白人种族和私人保险是金融毒性的重要风险因素.
- 需要有针对性的干预措施来缓解财务毒性,并减少癌症治疗负担的差异.
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