在老年癌症幸存者中,医疗保健接触日
Arjun Gupta1, Emma D Chant2, Supriya Mohile3
1University of Minnesota, Minneapolis, MN.
JCO oncology practice
|March 7, 2024
概括
年长的癌症幸存者每年花费近一个月的医疗保健. 这一次,主要是门诊护理,受非临床因素的影响,强调需要更好地协调幸存者护理.
科学领域:
- 老年学是指老年学的学科.
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健接触日 (HCCD) 衡量了在家外接受医疗保健所花费的时间.
- HCCD为医疗保健利用提供了一个实用的,以人为中心的指标.
- 了解HCCD对于评估患者的护理负担至关重要.
研究的目的:
- 在老年成人癌症幸存者中量化医疗保健接触日.
- 描述总和门诊接触日的模式.
- 在这个人群中确定与医疗保健接触日相关的因素.
主要方法:
- 链接2019年医疗保险当前受益者调查和医疗保险索赔数据.
- 包括社区居住的有癌症史的老年人.
- 使用加权波桑回归来确定与接触日相关的因素.
主要成果:
- 1,168名老年人代表了451万名癌症幸存者.
- 平均总接触日为28.4天,其中24.2天是门诊.
- 与更多接触日相关的因素包括年龄较小,收入较低,并发病率较高和自我评估健康状况较差.
结论:
- 老年癌症幸存者在医疗机构度过了相当长的时间 (近1个月/年).
- 护理在很大程度上是门诊,经常涉及非瘤学家,并受到非临床因素的影响.
- 在癌症幸存者护理中,需要改善护理协调和对患者负担的认识.
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