导航马来西亚完成癌症治疗激励计划:患者的见解和实施挑战
Nur Hidayati Abdul Halim1, Nur Azmiah Zainuddin2, Farhana Aminuddin2
1Institute for Health Systems Research, National Institutes of Health (NIH), Ministry of Health, Jalan Setia Murni U13/52, Seksyen U13 Setia Alam, Shah Alam, Selangor, 40170, Malaysia. nurhidayati.ah@moh.gov.my.
BMC health services research
|March 27, 2025
概括
马来西亚的癌症治疗激励计划 (CCTI) 帮助低收入患者,但意识和应用过程需要改进. 加强沟通和简化管理是更好地支持癌症患者的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 瘤学患者支持服务
背景情况:
- 癌症诊断给医疗保健系统和低收入家庭带来了重大的经济挑战.
- 根据PeKa B40计划,马来西亚的完整癌症治疗激励计划 (CCTI) 旨在减轻这些负担.
- 本研究评估了患者与CCTI的经验,以告知政策改进.
研究的目的:
- 探索马来西亚癌症患者在完成癌症治疗激励 (CCTI) 计划中的经验.
- 确定CCTI的覆盖范围,采用和实施中的障碍和促进者.
- 为提高CCTI的有效性和以患者为中心提供建议.
主要方法:
- 使用半结构面试对23名CCTI受益人和非申请人的定性研究.
- 在马来西亚八家公立医院进行的采访.
- 以RE-AIM框架为指导的分析,重点是覆盖范围,采用和实施.
主要成果:
- 患者对CCTI的认识有所不同;接受者经常通过个人网络或媒体获取信息,而非接受者对CCTI的认识有限.
- 鉴于CCTI减少了财务压力,特别是运输成本,但并没有显著改变寻求治疗的行为.
- 实施的挑战包括复杂的申请流程,不清楚的程序,关于申请批准的沟通不良,以及对运输激励范围缺乏认识.
结论:
- 在CCTI的沟通,管理和透明度方面存在关键差距,阻碍了计划的有效性.
- 建议简化申请流程,改善信息传播,并利用数字工具.
- 以患者为中心的方法对于财政援助计划至关重要,以提高医疗保健公平性和癌症患者的获取.
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