癌症支持护理中的金融毒性:一项国际调查
Alexandre Chan1, Yu Ke2, Mary Tanay3
1School of Pharmacy & Pharmaceutical Sciences, University of California, Irvine, Irvine, CA.
JCO global oncology
|July 3, 2024
概括
在全球范围内,癌症护理的财务毒性各不相同,社会经济地位是关键因素. 医疗保健专业人员需要量身定制的策略来解决这些未满足的社会需求,并改善患者的支持.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 金融毒性 (FT) 对癌症患者的结果和生活质量产生重大影响.
- 未满足的社会需求和财务负担导致癌症护理中的健康差异.
- 了解FT来源的全球变化对于开发有效的支持性护理策略至关重要.
研究的目的:
- 确定癌症患者未得到满足的社会需求和财务毒性的来源.
- 探索医疗保健专业人员和研究人员如何看待这些挑战.
- 突出与癌症治疗中的金融毒性相关的潜在健康差异.
主要方法:
- 在多国癌症支持护理协会 (MASCC) 的成员中进行了一项横截面调查.
- 匿名调查评估了常规的社会需求评估,社会人口统计,FT因素,感知到的支持和资源的可用性.
- 分析了218个MASCC成员的数据,主要来自高收入国家 (HIC).
主要成果:
- 高收入国家 (药物/治疗费用,保险) 和中低收入国家 (运输,失业,返回工作服务) 之间的FT来源有所不同.
- 社会经济地位在LMIC,HIC (不包括美国),非少数群体和医生中一直是FT的前三大来源.
- 来自LMIC的医生和受访者更有可能定期评估财务覆盖.
结论:
- 全球评估癌症治疗的财务覆盖和社会需求的方法有很大的差异.
- 社会经济地位是一个普遍存在的因素,在全球不同环境中导致金融毒性.
- 需要量身定制的干预措施和提高资源可见性,强调临床医生在管理癌症护理财务方面的作用.
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