解决癌症相关财政困难的干预措施:全面审查和呼吁采取行动
Stephanie B Wheeler1,2, Bridgette Thom1,3, Austin R Waters1,2
1Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC.
JCO oncology practice
|January 10, 2025
概括
瘤学中的经济困难干预是可行的和有效的,提供物质,行为和心理社会支持. 这些计划改善了患者的治疗结果,并减少了财务毒性,在癌症治疗中变得至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 瘤实践越来越多地选财务困难 (FH) 和与健康相关的社会需求.
- 越来越多的文献涉及癌症相关的FH干预措施.
研究的目的:
- 对解决癌症相关经济困难的干预措施进行范围审查.
- 确定现有的FH干预措施的关键组成部分,结果和局限性.
主要方法:
- 从2000年到2024年使用PubMed,EMBASE,PsychInfo和CINAHL进行文献范围审查.
- 包括完整的手稿,详细介绍FH的研究,质量改善或社区干预措施.
- 对43项干预措施的44篇出版物的定性分析,按类型分类.
主要成果:
- 确定了43项干预措施,分为研究 (n=20) 和现实世界的项目 (n=20).
- 最常见的干预措施包括金融导航 (n=17) 和专业药房协助 (n=11).
- 干预措施提供了医疗费用和生活费用的援助,改善了财务毒性,减少了没有出现,并增加了临床试验招生.
结论:
- 对FH的干预是可行的,并且涉及物质,行为和心理社会领域.
- 未来的研究应该专注于在不同癌症护理环境中实施和采用.
- 在等待更广泛的社会和政策变化之前,FH干预是癌症护理的关键组成部分.
相关概念视频
Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
Cancer Therapies
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
Cancer Therapies
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Nursing Ethical Principles II
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Cancer Survival Analysis
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...


