在接受多学科头癌护理的服务不足患者群体中,需要考虑运输问题
Luke Stanisce1,2,3, Donald H Solomon1,2,3, Liam O'Neill2
1Division of Otolaryngology - Head & Neck Surgery, Cooper University Health Care, Camden, NJ, USA.
AIMS public health
|January 13, 2025
概括
患有晚期头癌的低保险患者面临运输障碍,导致错过预约和可能更糟糕的结果. 多学科诊所可以为这些服务不足的人群提供解决方案.
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 公平 卫生 公平
背景情况:
- 患有晚期头癌的低保险患者的健康状况往往比他们的保险良好的同行更差.
- 后勤方面的挑战,特别是运输,可能会对弱势患者群体的治疗坚持和治疗结果产生重大影响.
研究的目的:
- 调查发达头癌的低保险患者的运输因素和错过预约之间的关联.
- 确定护理的障碍,并探索潜在的解决方案,以改善服务不足的癌症群体的治疗坚持.
主要方法:
- 对50名接受治疗意图,多学科癌症护理的政府保险或未保险患者进行了回顾性后勤回归分析.
- 研究的因素包括人口,地理空间,交通,疾病和治疗变量.
主要成果:
- 40%的患者在第一年内错过了至少一次治疗或监测预约.
- 公共交通运输用户明显更有可能错过治疗 (3.3倍) 和监测 (4.6倍) 访问.
- 较长的旅行时间和依赖公共交通工具与错过的约会有关,尽管物理距离没有.
结论:
- 缺乏保险和服务不足的患者群体面临着与运输相关的大量后勤障碍.
- 提供替代护理的模式,如多学科诊所,可以帮助缓解这些挑战,并改善获得护理的机会.
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