专门的财务困难查增加了妇科癌症患者常规应急查的价值
Margaret I Liang1, Jhalak D Dholakia2, Grace M Lee2
1Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA; O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Gynecologic oncology
|March 22, 2024
概括
现有的应急查错过了许多经济困难 (FH) 的患者. 专门的FH查是可行的和可以接受的,但目前的方法对于识别需要支持的所有患者的敏感性很低.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者支持 患者支持
背景情况:
- 对于接受癌症治疗的患者来说,经济困难 (FH) 是一个重大问题.
- 现有的应急查工具可能无法充分识别患有FH的患者.
- 有效的查对于将患者与必要的财务资源联系起来至关重要.
研究的目的:
- 为了比较现有的应急查与专门的财务困难 (FH) 查在识别患有FH的患者的有效性.
- 评估患者对FH查的态度和经验.
- 确定用于检测FH的应急选的灵敏度和特异性.
主要方法:
- 选的妇科癌症患者开始新疗法.
- 利用现有的应急查 (应急温度计,问题检查清单) 和专门的FH查 (COST工具,财务需求检查清单).
- 通过调查和退场采访收集患者的观点.
主要成果:
- 在完成FH查的357名患者中,24%的FH查结果呈阳性.
- 危险查显示,对FH的敏感度为57%,特异性为77%.
- 40%的女性患有FH会被错过了仅仅通过危险查.
结论:
- 专门的FH查在癌症患者中是可行的和可以接受的.
- 现有的应急查单独不足以识别所有患有FH的患者.
- 建议改善FH查的时间和设置.
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