癌症妇女的诊断延迟:我们知道什么以及哪些因素有助于?
Liza A Hoveling1, Melinda Schuurman2, Sabine Siesling3
1Department of Health Technology and Services Research, Technical Medical Centre, University of Twente, Enschede, the Netherlands.
Breast (Edinburgh, Scotland)
|February 23, 2025
概括
乳腺癌的诊断延迟不成比例地影响女性. 这些因素涵盖个人行为,社交网络,医疗保健系统和社会政策,突出需要提高意识和获取.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 及时诊断癌症对于有效的治疗结果至关重要.
- 诊断延迟是癌症护理的一个重要障碍,特别是对女性来说.
- 了解导致这些延迟的多方面的因素对于改善患者护理至关重要.
研究的目的:
- 对乳腺癌妇女诊断延迟的最新文献进行范围审查.
- 识别和分析个人层面的因素及其与微,中,外和宏观系统因素的相互作用,这些因素导致诊断延迟.
- 探索Bronfenbrenner的生态模型在理解这些延迟方面的应用性.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在PubMed/MEDLINE和Scopus中进行文献搜索,查找2018年至2023年11月期间发表的研究.
- 包括定性和定量研究,重点关注癌症妇女的诊断延迟,特别是高收入国家的乳腺癌.
主要成果:
- 包括来自高收入国家的22项研究,检查了乳腺癌的诊断延迟.
- 在微系统 (个人),中系统 (社交网络),外系统 (环境) 和宏观系统 (社会/政策) 层面确定了导致延迟的因素.
- 布朗芬布伦纳的生态模型为理解这些因素的复杂相互作用提供了有用的框架.
结论:
- 乳腺癌的诊断延迟受到个人,社会,医疗保健和政策相关因素的复杂相互作用的影响.
- 提高医疗保健系统内的意识,沟通和可访问性至关重要.
- 建议进一步研究将生态模型应用于各种癌症类型和全球收入环境.
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