缓解癌症相关医疗财政困难的干预措施:系统性审查和元分析
Ali Rashidi1, Jinho Jung1, Raymond Kao1
1Department of Radiological Sciences, University of California Irvine, Irvine, California, USA.
Cancer
|May 17, 2024
概括
金融导航干预措施有望减少高风险癌症患者的财务担忧. 然而,各种金融困难措施的整体有效性需要进一步调查.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 经济困难是癌症患者的重大负担.
- 干预措施旨在缓解财务困境并改善患者的治疗结果.
- 系统审查和元分析对于评估干预措施的有效性至关重要.
研究的目的:
- 系统地审查缓解癌症患者经济困难的干预措施.
- 使用元分析方法评估这些干预措施的有效性.
- 确定哪些干预措施对特定的财务困难结果最有效.
主要方法:
- 从2000年1月到2023年4月,在多个数据库 (PubMed,Cochrane,Scopus,CINAHL,Web of Science) 进行了全面的文献搜索.
- 包括前性临床试验与针对经济困难和可衡量的结果的干预措施.
- 独立的质量评估和两个审查员的数据提取,随后进行随机效应模型元分析.
主要成果:
- 涉及2211名参与者的11项研究评估了金融导航,教育和成本讨论等干预措施.
- 在只有27.3%的研究中,财务担忧有所改善;物质困难和护理不遵守是不变的.
- 金融导航显示,在基线财务毒性较高 (COST ≤14.5) 的患者中,财务担忧显著减少 (COST评分).
结论:
- 为了减轻癌症患者的经济困难,存在各种干预措施.
- 金融导航显示出降低财务担忧的潜力,特别是在高风险人群中.
- 需要进一步的研究来解决物质困难和与成本相关的不遵守问题.
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