患者参与放射瘤学:对调查响应动态的大型回顾性研究
Bailey A Loving1, Hong Ye1, Elizabeth Rutka1
1Department of Radiation Oncology, Corewell Health William Beaumont University Hospital, Royal Oak, MI, United States.
Frontiers in oncology
|February 3, 2025
概括
患者参与放射性瘤调查受社会经济地位,年龄和癌症类型的影响. 远程医疗增加了参与度,而社会经济劣势和某些健康状况减少了参与度,影响了以患者为中心的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 辐射瘤学 辐射瘤学
背景情况:
- 患者满意度调查对于评估医疗保健质量至关重要.
- 了解影响放射瘤学调查参与的因素是以患者为中心的护理的关键.
研究的目的:
- 分析影响患者参与放射瘤学满意度调查的人口,临床和社会经济因素.
- 确定参与调查的预测因素,以改善反机制.
主要方法:
- 11,859名放射瘤患者的回顾性分析 (2021年5月至2024年1月).
- 单变量和多变量逻辑回归用于评估影响调查参与的因素.
- 分析的因素包括年龄,种族,社会经济地位 (SES),保险,癌症类型,健康状况和医疗保健模式.
主要成果:
- 更高的社会经济劣势 (区域贫困指数) 显著减少了调查参与率 (OR=0.708,p<0.001).
- 老年人和患有头部/部或生殖尿道癌症的患者更有可能参与.
- 远程医疗发现参与率增加 (OR=1.149,p=0.006),而并发症和精神健康障碍则减少了参与率.
结论:
- 患者参与调查是多因素的,受人口统计,SES,临床因素和医疗保健提供的影响.
- 需要量身定制的干预措施来解决代表性不足的群体的障碍,并确保包容性的反.
- 提高调查参与度对于提高辐射瘤学中以患者为中心的护理至关重要.
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