针对癌症相关经济困难的干预措施的系统审查:当前证据和影响
Shumin Jia1, Denise Shuk Ting Cheung, Mu-Hsing Ho
1Author Affiliations: School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
Cancer nursing
|August 27, 2024
概括
本次审查强调了针对癌症相关经济困难的干预措施. 虽然一些干预措施改善了物质条件和获得护理的机会,但没有任何一种方法始终帮助所有领域,这表明需要多学科战略.
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:
- 有限的证据存在于有效的干预措施的癌症护理的财政困难.
- 经济困难是癌症分娩的一个重要问题.
- 越来越多地强调减轻癌症患者的经济困难.
研究的目的:
- 系统地审查应对癌症相关经济困难的干预措施.
- 识别文献上的差距,并为未来的基于证据的干预提供信息.
- 从微观和宏观的角度来研究财务困难.
主要方法:
- 在主要数据库 (PubMed,科学网,CENTRAL,EMBASE,PsycINFO) 进行全面的文献搜索,截至2022年10月.
- 包括评估旨在减轻癌症相关经济困难的干预措施的研究.
- 系统审查方法用于综合发现.
主要成果:
- 综述中包括了24项研究.
- 在物质条件 (微观视角) 中观察到积极影响.
- 宏观层面的好处包括改善获得,负担能力,医疗保健利用和公平.
- 干预措施和结果措施之间存在显著的异质性.
结论:
- 这是针对癌症的微观和宏观干预措施的首次全面审查.
- 没有任何干预措施在所有领域都显示出一致的积极影响.
- 多学科,层次和基于证据的干预措施至关重要.
- 实践者应该使用标准化措施对幸存者和照顾者进行查和管理财务困难.
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