人口差异和影响癌症治疗决策的因素
Safa Elkefi1, Avishek Choudhury2
1School of Nursing, Columbia University, New York, NY, USA. Se2649@cumc.columbia.edu.
概括
许多癌症患者面临着治疗决策. 诸如保险,负担能力和定期医生访问等因素影响治疗追求,突出需要更好的患者教育和支持.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 癌症护理差异 癌症护理差异
背景情况:
- 了解癌症治疗决策对于改善患者治疗结果至关重要.
- 在癌症治疗中存在差异,影响治疗坚持和生存率.
- 预先处理模型为分析健康行为决定因素提供了一个框架.
研究的目的:
- 探索癌症治疗决策中的差异.
- 识别与决定进行癌症治疗相关的因素.
- 分析影响治疗选择的倾向性,支持性和强化因素.
主要方法:
- 2017-2022年使用的行为风险因素监测系统 (BRFSS) 数据.
- 在分析框架中采用 PRECEDE-PROCEED 模型.
- 进行了加权描述性统计和多变量物流回归分析.
主要成果:
- 在19388名癌症患者中,近21%的人拒绝接受治疗.
- 美国印第安人,年轻人和乳腺癌患者更有可能接受治疗.
- 私人保险,负担能力,定期获得医疗保健,以及与治疗追求相关的健康状况不佳的日子.
结论:
- 患者教育对于提高癌症治疗的坚持和知情决策至关重要.
- 文化定制的计划,解决财务障碍和促进定期医疗保健是必不可少的.
- 干预措施应考虑与年龄相关的问题以及影响治疗选择的社会经济因素.
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