卫生保健工作者金融毒性干预:一个试点金融毒性查和转诊计划
Divya A Parikh1,2, Gladys M Rodriguez3, Meera Ragavan4
1Department of Medicine, Division of Oncology, Stanford University, Stanford, CA, USA. divyaa@stanford.edu.
概括
使用非专业卫生工作者和社会工作者进行财务毒性查,有效地减少了晚期泌尿癌患者的财务负担. 这种干预证明是可行的和可接受的,改善了患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 精神瘤学 精神瘤学
背景情况:
- 金融毒性显著地使尿道癌症患者感到痛苦.
- 关于这种患者群体所经历的财务负担的研究有限.
研究的目的:
- 为患有晚期泌尿癌的患者开发和评估一项金融毒性查计划.
- 评估多学科干预措施对财务负担的可行性,可接受性和影响.
主要方法:
- 一个金融毒性查计划被实施,使用一名非专业卫生工作者 (LHW) 和社会工作者 (SW).
- 新确诊的前列腺癌,癌或尿癌的患者使用COST工具进行了查.
- 患有重大财务负担的患者被转介给SW,以获得个性化的建议.
主要成果:
- 185名患者进行了查;9.7%的查结果为显著的财务负担呈阳性.
- 100%的转诊患者完成了SW咨询,并报告满意度.
- 干预后观察到COST工具得分的平均减少为0.83.
结论:
- 涉及LHWs和SWs的多学科干预是可行的和可接受的,以减轻泌尿癌患者的财务毒性.
- 这项干预与降低财务负担有关.
- 需要在不同的环境中进行进一步的评估.
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