对在门诊瘤诊所接受治疗的青少年和年轻成年人实施财务查
Melissa P Beauchemin1,2, Rhea K Khurana1, David DeStephano2
1School of Nursing, Columbia University Irving Medical Center, New York, NY.
JCO oncology practice
|June 9, 2025
概括
通过电子健康记录 (EHR) 患者门户网站进行财务查可以帮助患有癌症的青少年和年轻人 (AYA). 然而,将技术与临床支持相结合是有效的财政困难支持的关键.
科学领域:
- 在瘤学瘤学.
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有癌症的青少年和年轻人 (AYA) 面临着严重的经济困难.
- 系统的财务选对于应对这些挑战至关重要.
- 将查整合到日常护理中对于AYA至关重要.
研究的目的:
- 评估实施癌症AYA的财务选过程的实施情况.
- 通过电子健康记录 (EHR) 患者门户网站评估直接向患者提示的有效性.
- 确定影响查响应和经济困难的普遍性因素.
主要方法:
- 利用实施科学框架来评估EHR患者门户查.
- 测量了查响应率 (覆盖率,采用率) 和经济困难的普遍性 (有效性).
- 根据临床和社会人口统计学因素分析了AYA患者 (15-39岁) 的数据;进行了患者/护理人员采访.
主要成果:
- 567个AYA中的50%对EHR门户查有反应;15%拒绝,34%没有进行查.
- 在女性,非西班牙裔白人,亚洲裔,西班牙裔和偏爱英语的AYA中观察到更高的响应率.
- 74%的受访者对经济困难进行了积极的选;某些人口群体更有可能进行积极的选.
结论:
- 电子健康系统的患者门户技术可以促进癌症AYA的财务查.
- 多模式查方法和临床团队的协作对于提高准入和参与度至关重要.
- 进一步的研究应该探索优化技术辅助的财务查,以改善患者的支持.
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