患者报告的障碍 在深南地区的癌症护理
Ioannis Liapis1, Alfonsus Adrian H Harsono1, Jaspinder Sanghera1
1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Annals of surgical oncology
|March 4, 2025
概括
患有前肠癌的患者面临许多障碍,无法接受符合指导方针的治疗 (GCT),包括财务,社会和系统问题. 应对这些挑战对于改善癌症护理和患者治疗结果至关重要.
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:
- 许多前肠癌患者没有接受符合指导方针的治疗 (GCT).
- 健康的社会决定因素 (SDOH) 与GCT接收的差异有关,但潜在的机制尚不清楚.
- 这项研究探讨了护理前肠癌患者的障碍.
研究的目的:
- 识别和分类对于前肠癌患者接受指导方针一致治疗 (GCT) 的障碍.
- 了解导致治疗差异的多层次因素 (个人,人际关系,组织,政策).
- 为旨在增加GCT交付的干预措施的发展提供信息.
主要方法:
- 混合方法研究涉及30名前肠癌患者在安全网医院.
- 半结构面试分析使用接地理论方法.
- 从医疗记录中抽取的社会人口统计和治疗数据.
主要成果:
- 障碍物被分类为个人,人际关系,组织和政策层面.
- 个人障碍包括获得初级保健,财务限制和交通.
- 人际障碍涉及沟通问题和不信任;组织障碍包括对卫生系统的不信任和缺乏保险;政策障碍涉及医疗保健准入和保险政策.
结论:
- 前期癌症患者在获得和遵守推治疗时遇到多种障碍.
- 了解这些多方面的障碍对于设计有效的计划来改善GCT交付至关重要.
- 解决系统和个人层面的障碍可以帮助减少癌症护理方面的差异.
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