了解癌症幸存者的成本沟通经验和偏好
Heather N Platter1,2,3, Robin C Vanderpool4, Amy J Davidoff4
1Department of Public Health Science, School of Medicine, University of Virginia, Charlottesville, VA, USA. hnplatter@virginia.edu.
概括
癌症患者更喜欢在开始治疗之前讨论治疗费用,但是在诊断后. 让家人参与这些财务谈话可以提高理解,并减少患者的压力.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 以患者为中心的护理
背景情况:
- 癌症患者和提供者之间的成本讨论与减少自付费用有关.
- 患者对这些财务对话的看法在很大程度上仍未得到审查.
研究的目的:
- 探索患者在癌症护理过程中关于成本沟通的经验和偏好.
- 确定与癌症幸存者讨论治疗费用的最佳时间和方法.
主要方法:
- 使用半结构面试对20名癌症幸存者 (年龄在26-60岁,诊断后5年内) 进行定性研究.
- 采访被记录,转录,并使用代内容分析进行分析.
主要成果:
- 大多数幸存者 (65%) 倾向于在诊断后,但在开始治疗之前讨论费用.
- 显著多数 (90%) 希望家人参与成本讨论.
- 60%的人赞成瘤科医生在治疗规划期间考虑自费费用,以帮助财务管理和减少焦虑.
结论:
- 癌症患者对成本沟通的偏好高度个性化.
- 需要方法来评估患者对癌症护理成本讨论的偏好.
- 解决这些偏好对于管理癌症幸存者面临的财务挑战至关重要.
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