评估虚拟导航干预措施改善医疗保险知识和减少癌症幸存者的财务负担的影响:HINT II研究协议
Elyse R Park1, Anne C Kirchhoff2, Calli O Mitchell3
1Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA; Mongan Institute Health Policy Research Center, Massachusetts General Hospital, 100 Cambridge Street, Suite 1600, Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA; Health Promotion and Resiliency Intervention Research Center, Massachusetts General Hospital, 100 Cambridge Street, Suite 1600, Boston, MA 02114, USA.
这项研究评估了儿童癌症幸存者的医疗保险导航计划,以提高医疗保险素养 (HIL) 并减少财务负担. 结果将为导航复杂医疗保健系统的干预提供信息.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 卫生识字 卫生识字
背景情况:
- 儿童癌症幸存者因持续治疗相关的医疗保健需求而面临重大财务负担.
- 改善医疗保险素养 (HIL) 对幸存者来说至关重要,以管理医疗保健成本并有效地导航保险计划.
- 有限的研究存在于医疗保险导航计划对这一群体的HIL的影响.
研究的目的:
- 评估两个不同的医疗保险导航计划 (HINT-S和HINT-A) 与增强的常规护理 (EUC) 相比,在儿童癌症的成年幸存者中改善HIL的有效性.
- 评估这些干预措施对财务负担,自付费用和医疗保健利用的影响.
- 调查导航计划的主持人和实施结果.
主要方法:
- 一个三臂随机对照试验 (RCT) 涉及儿童癌症幸存者的全国队列.
- 干预措施包括同步 (HINT-S) 和异步 (HINT-A) 数字交付的导航程序,以及带有信息小册子的EUC.
- 结果 (HIL,财务负担,成本,利用) 在6个月和12个月评估,同时评估实施结果.
主要成果:
- 本节不适用,因为摘要介绍的是研究方案,而不是结果.
- 该研究正在进行中,结果正在等待.
- 该议定书概述了评估干预有效性的方法.
结论:
- 在癌症幸存者中,急需采取干预措施来提高医疗保险素养 (HIL).
- 该试验旨在确定医疗保险导航计划的有效性和实施可行性.
- 这些发现可能会显著有利于癌症幸存者在美国医疗保健系统的导航和减少财务压力.
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