在农村癌症幸存者中,未满足的需求和护理交付差距
Nicole L Stout1,2, Dannell Boatman1, Madeline Rice3
1Department of Cancer Prevention and Control, School of Medicine, West Virginia University, Morgantown, WV, USA.
农村癌症幸存者经历了大量未满足的需求,特别是在身体,心理和健康信息领域. 基于社区的支持服务和可访问的健康信息对于改善长期癌症护理的准入至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健提供系统
背景情况:
- 基于社区的医疗保健系统往往缺乏专门的癌症幸存者支持.
- 农村癌症幸存者面临着不成比例的高负担未满足的需求.
- 识别和解决这些差距对于改善患者长期治疗结果至关重要.
研究的目的:
- 评估2015年至2021年期间诊断的农村癌症幸存者的未满足需求.
- 确定在支持性服务和健康信息获取方面的特定护理缺口.
- 为制定有针对性的社区干预措施提供信息.
主要方法:
- 顺序混合方法方法结合调查和定性访谈.
- 在五个领域利用了支持性护理需求调查 (SCNS).
- 分析了362份调查答复,并进行了11次定性访谈.
主要成果:
- 几乎一半 (49.5%) 的农村癌症幸存者报告未满足的需求.
- 主要未满足的需求是身体,心理和健康信息领域.
- 护理差距主题包括难以找到支持服务和获得护理连续性信息.
结论:
- 癌症幸存者在多个功能领域存在持续的未满足需求.
- 获得社区支持和全面的健康信息仍然不足.
- 加强社区资源对于改善长期癌症幸存者的护理机会至关重要.
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