在远程症状监测计划中,不同患者背景的参与
Gabrielle B Rocque1,2, Nicole E Caston1, Keyonsis Hildreth1
1Department of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.
JCO oncology practice
|June 25, 2024
概括
黑人患者和处于弱势地区的患者对远程症状监测 (RSM) 的参与度较低. 解决障碍对于公平的癌症护理和技术采用至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 使用电子患者报告结果 (ePROs) 的远程症状监测 (RSM) 在癌症护理中显示出前景.
- 之前的试验仅限于种族多样性,不反映现实世界患者群体.
- 确保公平获得RSM对于不同癌症患者群体至关重要.
研究的目的:
- 分析癌症患者远程症状监测 (RSM) 计划中的参与差异.
- 调查种族和社区的劣势如何影响参与RSM.
- 识别癌症护理数字健康工具中公平参与的障碍.
主要方法:
- 在RSM计划中对883名癌症患者的横截面队列进行二次分析.
- 患者的种族被分类为黑人,其他或白人.
- 通过农村-城市通勤区代码和区域贫困指数评估农村和社区的劣势.
- 通过修改Poisson模型,研究了RSM的方法,下降,坚持和退出.
主要成果:
- 与白人患者相比,黑人患者拒绝RSM入学的可能性超过3倍.
- 贫困社区的患者不太可能下降,但也不太可能遵守症状调查.
- 在种族和社会经济小组中观察到类似的接近和撤回的可能性.
结论:
- 黑人患者和贫困社区的患者面临较低参与远程症状监测的显著风险.
- 调查结果强调需要有针对性的战略来克服障碍,并促进在数字健康干预中公平参与.
- 进一步的研究是必不可少的,以确保远程症状监测有利于所有癌症患者群体.
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