在高州改善对放射治疗的准入:为公平的癌症护理提供框架
Portia N Ramashia1,2, Pauline B Nkosi3, Thokozani P Mbonane1
1Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg 2000, South Africa.
概括
在南非高州,由于系统和社会经济障碍,获得放射治疗的机会不平等. 一个新的House框架,整合了WHO和访问维度,为公平的癌症护理和改善结果提供了解决方案.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 南非高州的放射治疗接入受到系统性问题,社会经济障碍和卫生系统限制的阻碍,影响可持续发展目标3.
- 在公共和私人放射治疗设施之间的资源分配和可访问性方面存在差异.
- 运输成本和缺乏意识等社会经济因素加剧了这些挑战.
研究的目的:
- 介绍众议院的框架,一个旨在改善获得放射治疗服务的新型模型.
- 整合世界卫生组织 (WHO) 卫生系统框架与Penchansky和Thomas的访问维度.
- 为了确定障碍,并提出解决方案,以改善放射治疗的获取和公平的癌症护理在高.
主要方法:
- 采用混合方法方法,将放射治疗设施的定量数据结合起来.
- 从医疗保健专业人员那里收集了定性见解,以确定障碍和潜在的解决方案.
- 众议院框架被制定,将政策和治理视为基础,世卫组织的构建块作为支柱,公平的癌症护理和改善结果作为屋顶.
主要成果:
- 在公共和私人放射治疗机构之间,在资源分配和可访问性方面发现了显著的差异.
- 社会经济因素,包括运输成本和有限的认识,被确定为进入的重大障碍.
- 该研究强调了5A访问的潜力,作为在拟议框架内的创新解决方案.
结论:
- 众议院框架为决策者和医疗保健提供者提供了一种有价值的工具,以应对高的辐射疗法接入挑战.
- 实施该框架可以带来更公平的癌症护理和改善患者的治疗结果.
- 减少辐射治疗获取差异对于在该地区实现更好的癌症护理和健康公平至关重要.
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