医疗保险导航工具干预:儿童癌症幸存者研究中的试点试验
Elyse R Park1, Anne C Kirchhoff2, Karen Donelan1
1Massachusetts General Hospital, Boston, MA.
JCO oncology practice
|March 12, 2024
概括
儿童癌症幸存者可以通过虚拟导航程序提高医疗保险素养 (HIL). 这种干预显著提高了对保险条款的理解,并减少了财务困难.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 卫生识字 卫生识字
背景情况:
- 儿童癌症幸存者面临着不足保险和财务负担的重大风险.
- 需要采取干预措施来提高这一群体的医疗保险素养 (HIL).
研究的目的:
- 为儿童癌症幸存者开发和试点测试虚拟医疗保险导航工具 (HINT) 干预.
- 评估HINT在改善HIL和减少财务困难方面的可行性,可接受性和初步有效性.
主要方法:
- 一个由患者导航提供的四个会议的同步虚拟干预 (HINT) 与一个小册子共同开发.
- 一个随机的试点试验将HINT与幸存者的增强常规护理 (EUC) 相比较.
- 可行性,可接受性和初步有效性 (HIL,ACA知识,经济困难,保险满意度) 通过调查和退场面试进行评估.
主要成果:
- HINT干预是可行的和可以接受的,完成率很高 (80.5%的会议,93.9%的后续).
- 参与者对HINT的帮助性评价很高 (平均8.9/10),理由是对理解覆盖范围的信心有所提高.
- 与EUC相比,HINT显著改善了HIL (ES=0.94),ACA知识 (ES=0.73),减少了心理财务困难 (ES=0.64),并增加了保险满意度 (ES=0.55).
结论:
- 虚拟健康保险导航计划 (HINT) 是儿童癌症幸存者改善HIL的可行和可接受的干预措施.
- 需要进一步的随机试验来证实医疗保险在HIL和财务负担上的有效性和可持续性.
更多相关视频
05:18Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant
Published on: October 6, 2023
1.3K
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
2.2K
相关概念视频
01:21Cancer Survival Analysis
345
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...
345
01:11Clinical Trials: Overview
2.9K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
2.9K
01:30Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
01:16Clinical Trials
6.7K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.7K
01:12Hazard Ratio
121
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
121
02:49Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K