了解乳腺癌患者的治疗途径及其对墨西哥生存的影响
Fatin Izzati Ramli1, Praveen Thokala2, Thaison Tong2
1Health Economics and Decision Science, School of Medicine and Population Health, University of Sheffield, Sheffield, United Kingdom; Faculty of Industrial Management, University Malaysia Pahang, Gambang, Malaysia.
Journal of cancer policy
|April 25, 2024
概括
及时诊断和治疗乳腺癌对于生存至关重要. 这项研究发现,墨西哥城的无保险妇女经历了延迟,特别是在公共诊所,突出了政策变革的必要性,以减少不平等并改善结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数据分析数据分析数据分析.
背景情况:
- 了解患者从发现乳腺症状到开始治疗的过程,是改善癌症治疗的关键.
- 在墨西哥城,没有保险的妇女在及时诊断和治疗乳腺癌方面面临着独特的挑战.
研究的目的:
- 描述墨西哥城乳腺癌未保险妇女的患者途径.
- 为了比较公共和私人医疗保健服务之间的等待时间和途径.
- 估计早期治疗对患者存活时间的影响.
主要方法:
- 过程挖掘被用来绘制患者的路径.
- 在私人和公共医疗保健咨询中比较了等待时间.
- 场景建模估计了早期诊断和治疗的生存益处.
主要成果:
- 在公共中心的乳腺癌患者中观察到一个共同的途径.
- 最初咨询私人诊所的患者的咨询和诊断等待时间较短 (66天 vs 88天) 和较短 (57天 vs 71天).
- 早期诊断 (60%的患者) 可以将平均存活时间提高到两年.
结论:
- 过程采矿可以为改善墨西哥乳腺癌护理的医疗保健政策提供信息.
- 缩短诊断和治疗间隔可以显著改善患者的治疗结果.
- 需要采取政策来解决及时获得癌症护理的不平等问题,并减少乳腺癌存活率的社会经济差异.
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