从COVID-19中吸取的教训:从患者的角度来看,改善流行后的乳腺癌护理
Charlotte Myers1, Kathleen Bennett2, Caitriona Cahir2
1School of Population Health, RCSI University of Medicine and Health Sciences, 123 St Stephen's, Green, Dublin, D02 YN77, Ireland. CharlotteMyers@RCSI.com.
概括
患有乳腺癌 (BC) 的妇女在流行病后经历了未得到满足的护理需求,社会经济地位较低的妇女面临更大的挑战. 建议侧重于改善获取,质量和支持,特别是对于低SES患者.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于COVID-19大流行,乳腺癌 (BC) 服务在全球面临重大干扰.
- 了解患者报告的未满足需求和优先事项对于流行病后的医疗保健恢复至关重要.
- 健康的社会决定因素 (SDH),特别是社会经济地位 (SES),显著影响医疗保健经验.
研究的目的:
- 探索未满足的需求,患者的优先事项,以及改善疫情后乳腺癌 (BC) 护理的建议.
- 研究这些需求和优先事项如何根据健康的社会决定因素 (SDH),特别是社会经济地位 (SES) 变化.
主要方法:
- 定性研究涉及对28名先前被诊断为乳腺癌 (BC) 的女性进行半结构面试.
- 参与者根据SDH,包括社会经济地位 (SES) 进行了有目的的抽样.
- 用专题分析来确定未满足需求,优先事项和建议的模式,并分析SDH的变化.
主要成果:
- 妇女报告说,她们在日常护理,福祉支持和获得BC护理的财政援助方面有未满足的需求.
- 关键的患者优先事项包括改善护理协调,改善医疗保健专业人员之间的沟通,以及加强患者赋权.
- 建议侧重于治疗后更顺的过渡,增加支持资源和适当使用远程医疗.
- 较低社会经济地位 (低SES) 的女性报告了更严重的未满足需求,影响了他们的优先事项和建议.
结论:
- 卫生系统必须优先重视恢复获得乳腺癌 (BC) 护理的机会和提高乳腺癌 (BC) 护理的质量.
- 应特别关注来自低SES背景的女性,以减轻健康不平等.
- 解决SDH对于公平有效的乳腺癌 (BC) 医疗恢复至关重要.
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