确定与获得综合性瘤学课程的差异相关的因素
Noah Samuels1, Orit Gressel-Raz2, Nir Peled3
1Center for Integrative Complementary Medicine (N.S.), Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
老年人,男性,非希伯来语使用者和非残疾的肺癌患者不太可能利用整合性瘤学 (IO) 咨询. 疼痛报告还预测IO咨询使用率较低,表明潜在的访问差异.
科学领域:
- 在瘤学瘤学.
- 综合医学是一个整体的医学.
- 公共卫生 公共卫生
背景情况:
- 综合性瘤学 (IO) 计划在支持性癌症护理中提供基于证据的补充疗法.
- 这项研究调查了影响以色列肺癌患者使用免费IO咨询服务的因素.
研究的目的:
- 在肺癌患者中确定与利用综合性瘤咨询相关的患者特征.
- 了解在获得支持性癌症护理服务方面的潜在差异.
主要方法:
- 对832名肺癌患者电子病历的回顾性审查.
- 对社会人口统计,个人健康,癌症相关和症状数据的分析.
主要成果:
- 只有14.4%的符合条件的患者参加了IO咨询.
- 年龄较大,男性性别,主要非希伯来语语言,缺乏残疾和缺乏报告的疼痛与较低的咨询出席率有关.
- 多变量分析证实了这些利用不足的预测因素.
结论:
- 年龄,性别和文化因素 (主要语言) 可能会为肺癌患者提供免费IO咨询提供障碍.
- 获得机会的不平等凸显了进一步研究的必要性,以确保公平和包容的综合性癌症护理.
- 了解这些因素对于优化瘤学中支持性和息性护理的提供至关重要.
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