社会经济因素可以预测瘤治疗的延迟
1Department of Radiation Oncology, Chao Family Comprehensive Cancer Center, Orange, University of California, 101 The City Drive, Building 23, Irvine, CA, 92868, USA. allenmchen@yahoo.com.
BMC public health
|June 10, 2025
概括
低社会经济地位 (SES) 和黑人种族与辐射瘤学接入延迟有关. 需要针对服务不足,低SES社区进行有针对性的干预,以改善及时的癌症护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 及时获得放射性瘤学服务对于癌症治疗结果至关重要.
- 基于社会经济因素的医疗保健获取差异是一个重大问题.
- 了解访问延迟的预测因素可以为目标干预提供信息.
研究的目的:
- 确定与延迟获得放射性瘤治疗相关的人口和社会经济因素.
- 分析患者特征与从转诊到初始咨询的时间之间的关系.
主要方法:
- 分析了9241名患者的潜在注册表,这些患者被转诊进行放射瘤咨询 (2018年10月至2022年4月).
- 社会经济地位 (SES) 通过基于邮政编码的家庭收入中位数数据来确定.
- 从提交到咨询的时间是以工作日计算的;统计分析确定了延迟的预测因素.
主要成果:
- 低SES和黑人种族与获得放射性瘤服务的延迟显著相关 (p <0.05).
- 与较高的SES组 (12%) (p < 0.001) 相比,位于最低SES四分位数的患者的延迟时间较长 (26% > 21天).
- 多变量分析确定低SES作为预约延迟的独立预测因子 (OR = 3.98,p < 0.001).
结论:
- 地理相关的社会经济因素是辐射瘤学的访问延迟的重要预测因素.
- 迫切,有针对性的干预措施是必要的,以解决差异,并改善服务不足地区的低SES人口及时访问.
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