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癌症患者综合社会需求查:叙事性审查
Isabel Arana1, Raymond Liu2, Lawrence Kushi3
1Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA 91101, United States.
JNCI cancer spectrum
|January 28, 2025
概括
用现有的工具,对癌症患者进行系统的社会需求查是可行的. 然而,对不同人群的有限概括性和整合到临床工作流程中需要进一步的研究.
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:
- 患有癌症且有社会需求的癌症患者报告生活质量下降,获得医疗保健的机会减少,健康结果更差.
- 针对社会需求的系统查和有效的资源导航策略在癌症护理中仍未得到充分探索.
- 现有的文献缺乏对选工具,实施策略和下游效应的全面描述.
研究的目的:
- 审查和综合现有的关于癌症患者社会需求查的文献.
- 确定验证的选工具,实施策略和工作流集成方法.
- 突出当前研究的差距,特别是关于不同患者群体和对临床结果的影响.
主要方法:
- 关于2008年至2023年间发表的研究的叙述性综述.
- 在PubMed和Embase中使用与社会查,社会需求和癌症相关的关键词进行的搜索.
- 纳入标准侧重于在癌症群体中实施面向患者的社会查工具的研究.
主要成果:
- 包括19篇文章,健康引领社会工具包是最常见的工具.
- 查通常是电子的,患者指导的,在诊断时进行的,响应率从10%到60%不等.
- 不到一半的研究详细介绍了积极查的资源导航,有限的研究评估了对临床结果或生活质量的影响. 对非英语使用者和少数群体的查可访问性受到限制.
结论:
- 在医疗保健系统中,通过多种可用的验证工具,对社会需求的查是可行的.
- 在确保对不同患者群体的概括性方面存在重大差距.
- 未来的研究应该专注于将查工作流程纳入常规临床实践,并评估其影响.
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