对社会风险和医疗保健利用与支持性瘤护理之间的联系进行描述性研究
Rebecca Cammy1, Joshua Banks2, Celeste Vaughan-Briggs1
1Division of Supportive Oncology, Sidney Kimmel Cancer Center, Jefferson Health, Philadelphia, PA.
Journal of psychosocial oncology
|September 27, 2024
概括
癌症患者具有更高的社会风险,包括财务压力和住房不稳定,利用了更多支持性瘤护理和医疗保健服务. 这凸显了在癌症护理中解决健康的社会决定因素 (SDOH) 的需要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 电子健康记录 (EHR) 越来越多地捕获社会风险数据.
- 健康的社会决定因素 (SDOH) 显著影响患者的结果.
- 了解SDOH和医疗保健利用之间的联系对于综合护理至关重要.
研究的目的:
- 检查来自EHR的社会风险数据与支持性瘤护理联系人之间的关系.
- 调查SDOH和癌症患者的医疗保健利用之间的关联.
- 根据社会风险水平,确定支持性护理需求的模式.
主要方法:
- 对2807名癌症患者进行了四个SDOH领域的查:财务压力,住房不稳定,粮食不安全和交通需求.
- 将患者分类为低或高SDOH风险组.
- 组之间比较了支持性瘤护理联系人,并分析了医疗保健利用率 (ED访问,住院住院,预约遵守).
主要成果:
- 较高的社会风险与与支持性瘤护理的总接触增加有关.
- 患有高SDOH风险的患者在所有检查结果中表现出更高的利用率.
- 在高风险患者的急诊室访问 (M=13),住院住院 (M=14) 和错过预约 (M=11) 中发现了具体的增加.
结论:
- 增加的社会风险和急性护理利用率与支持性瘤学中的更多心理社会干预相关.
- 调查结果强调,需要采取综合战略来应对已确定的SDOH因素.
- 需要采取全面行动,以减轻社会风险对癌症患者护理和治疗结果的影响.
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