解决农村和贫困社区的息护理障碍
Matthias Weiss1, Susan Sabo-Wagner2, Julia Frydman3
1ThedaCare Cancer Care, Appleton, WI.
概括
农村地区的数百万人无法获得癌症治疗,面临更糟糕的健康结果. 采用技术和远程医疗的中心和分支模式,可以改善这些服务不足的人群的症状管理和息护理.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 农村地区的3200万美国人无法获得多学科的癌症护理.
- 农村癌症患者经历了更大的社会健康决定因素 (SDoH) 挑战,经济困难和症状负担.
- 对息治疗 (PC) 的获取有限是一个全球性问题,特别是在高收入和低收入国家的农村地区.
研究的目的:
- 探索为农村人口提供有效的癌症症状管理和息护理的策略.
- 确定现代技术和创新的护理模式在克服癌症护理的地理障碍方面的作用.
- 突出调整干预措施以适应当地环境的重要性.
主要方法:
- 审查现有的文献和护理交付模式的实用例子.
- 讨论了将农村地区与癌症中心连接起来的中心和讲话模式.
- 强调利用技术 (EMR,远程医疗),先进实践提供者和社区卫生工作者.
主要成果:
- 通过技术和专业提供者支持的中心和分支模式,可以将最佳的癌症护理扩展到农村地区.
- 系统的SDoH评估,导航服务和支持远程医疗的PC是有效的策略.
- 数字健康干预和社区卫生工作者在资源有限的环境中显示出有希望的结果.
结论:
- 创新的模型和技术对于改善农村环境中癌症症状管理和息护理的准入至关重要.
- 解决SDoH和利用远程医疗是缓解差异的关键.
- 成功实施需要适应当地医疗保健基础设施,资源和社会文化因素.
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