为癌症患者获得新的诊所预约
Debbie W Chen1, Mousumi Banerjee2, Brittany Gay1
1Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor.
JAMA network open
|June 7, 2024
概括
模拟患者在获得癌症护理预约时面临重大障碍,英语说者成功率高于西班牙语或普通话说者. 需要采取干预措施,以改善平等获得癌症护理的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 瘤学 访问 访问
背景情况:
- 在包括癌症护理在内的专业护理中,种族和民族差异是有记录的.
- 在试图安排新的癌症护理预约时,对患者的经验的理解有限.
研究的目的:
- 评估模拟英语,西班牙语和普通话患者获得结肠,肺和甲状腺癌新诊所预约的能力.
- 确定影响不同患者群体预约访问的障碍.
主要方法:
- 一项跨部门审计研究涉及985个模拟电话到12个美国州的143家医院 (2021年11月至2023年3月).
- 经过培训的人员使用标准化脚本询问特定癌症类型的新约会.
- 多变量后勤回归分析了与成功预约访问相关的因素.
主要成果:
- 在41.5%的模拟电话中,总体上获得了癌症护理的机会.
- 英语使用者 (61.4%) 的成功率明显高于西班牙语 (36.4%) 和普通话使用者 (19.0%).
- 语言障碍影响了49.7%的西班牙语/普通话电话,工作流障碍影响了24.3%的电话.
结论:
- 模拟患者在试图访问癌症护理预约时遇到了相当大的障碍.
- 根据语言,在预约访问方面存在显著的差异.
- 干预措施对于降低障碍和促进平等获得癌症护理至关重要.
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