在被诊断为子宫内膜癌的妇女中使用医疗保健:基于调查的研究
Nerlyne Desravines1, Dana Hazimeh1, Michael R Desjardins2
1The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD, United States of America.
Gynecologic oncology
|March 30, 2024
概括
社会需求和经济困难显著影响子宫内膜癌的治疗,特别是对低收入的幸存者. 虽然在本研究中种族不是一个因素,但解决这些障碍对于实现癌症平等至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 子宫内膜癌存活率显示出明显的差异,非西班牙裔黑人妇女的死亡率是非西班牙裔白人妇女的两倍.
- 健康的社会决定因素 (SDOH) 越来越被认为是影响这些癌症结果差异的关键因素.
研究的目的:
- 调查被诊断为子宫内膜癌的患者护理和社会需求的障碍.
- 确定与患者群体中未得到满足的社会需求相关的人口统计和接入相关因素.
主要方法:
- 来自"我们所有人"研究的568名子宫内膜癌患者队列完成了关于人口统计和社会需求的验证调查.
- 后勤回归模型被用来评估与护理和社会需求障碍相关的因素.
主要成果:
- 经济困难 (收入<25,000美元) 与增加的交通需求和难以获得专家的困难有很大关系.
- 护理障碍包括自费费用,提供者焦虑,交通问题和工作假期不足.
- 显著的比例的患者采取措施减轻药物成本,例如询问更低成本的选择或改变处方使用.
结论:
- 社会需求和护理障碍不成比例地影响收入较低的子宫内膜癌幸存者.
- 意想不到的是,在这个队列中,没有发现种族/种族与护理障碍有关,可能是由于样本大小或调查限制.
- 进一步研究与健康相关的社会需求和有针对性的干预措施对于促进公平的子宫内膜癌结果至关重要.
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