描述移动瘤医疗工作人员及其对患者旅行负担的影响:基于索赔的方法
Bruno T Scodari1, Andrew P Schaefer2, Nirav S Kapadia2,3,4
1Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH.
JCO oncology practice
|February 22, 2024
概括
瘤外展改善了农村癌症护理的准入,通过减少患者的化学疗法和放射治疗的旅行时间. 这项研究描述了移动瘤学工作人员及其对减少患者旅行负担的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
- 农村卫生 农村卫生
背景情况:
- 癌症外展对农村癌症患者的护理至关重要.
- 全国范围内的流动瘤医疗工作人员数据有限.
- 宣传对农村患者出行负担的影响尚不清楚.
研究的目的:
- 描述全国各地的流动瘤医疗工作人员.
- 评估瘤外展对农村患者旅行时间的影响.
主要方法:
- 对355,139名患有乳腺癌,结肠直肠癌和肺癌的医疗保险受益者的横截面研究.
- 通过分析医疗保险B部分索赔和医院服务区域过渡来确定旅行瘤学家.
- 使用等级性玛回归来检查外展和患者旅行时间之间的关联.
主要成果:
- 大约25%的瘤学家每年都会进行外展活动.
- 2.5%至6.9%的农村受益者接受了化疗,放射治疗或手术的外展服务.
- 接受外展服务的患者显著减少了化疗 (16%的减少) 和放射治疗 (11%的减少) 的旅行时间.
结论:
- 开发了一种基于索赔的新方法来追踪旅行瘤学工作人员.
- 瘤外展有效地改善了农村获得癌症护理的机会.
- 外展显著减少了农村癌症患者的旅行负担.
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