覆盖基于证据的癌症幸存者护理服务
Anne H Blaes1, Maysa M Abu-Khalaf2, Catherine M Bender3
1University of Minnesota, Minneapolis, MN, USA. Blaes004@umn.edu.
概括
拒绝覆盖癌症幸存者的基本护理,包括维持疗法和查,是常见的. 这凸显了改善补偿政策的必要性,以确保患者获得基于证据的支持.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 癌症幸存者护理对于患者的长期福祉至关重要.
- 公共和私人支付人的保险和退款政策显著影响到幸存者服务的获取.
研究的目的:
- 为了确定特定的癌症幸存者护理服务被支付人拒绝覆盖.
- 了解这些拒绝覆盖的原因.
主要方法:
- 一项定量调查评估了临床实践报告的基于证据的幸存者护理覆盖拒绝率.
- 定性访谈探讨了拒绝的基础 (付款方政策,成本共享,事先授权).
主要成果:
- 对维持疗法 (免疫疗法,化疗) 和癌症查 (PET/CT,MRI) 的保险拒绝频繁.
- 超过一半的受访者报告说,他们被拒绝了症状管理和支持性护理.
- 生育,牙科和心理健康服务面临着严重的覆盖拒绝.
结论:
- 报销政策往往与基于证据的癌症幸存者护理不一致.
- 增加宣传是必要的,以确保支付人对基本的幸存者服务的持续覆盖.
相关概念视频
Cancer Survival Analysis
346
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
346
Cancer Vaccines
367
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
367
Cancer Stem Cells and Tumor Maintenance
4.9K
Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
4.9K
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Targeted Cancer Therapies
7.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.6K
Tumor Immunotherapy
524
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
524


