关于癌症护理事先授权的患者观点
Bridgette Thom1,2,3, Sonia Persaud4, Lauren V Ghazal5
1University of North Carolina (UNC) School of Social Work, Chapel Hill.
JAMA network open
|July 29, 2025
概括
在癌症护理方面,事先授权会给患者带来巨大的行政,心理和财务负担,往往会推迟或干扰必要的治疗. 患者认为这个系统是破碎和利驱动的,需要以他们的经验为中心的紧急改革.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者倡导 患者倡导
背景情况:
- 医疗保险事先授权可以推迟或拒绝癌症诊断,治疗和幸存者护理.
- 患者对事先授权的看法缺乏研究,主要关注临床医生的经验.
研究的目的:
- 描述患者在癌症护理中经过事先授权的体验.
- 了解事先授权对癌症患者的影响,用他们自己的话说.
主要方法:
- 对癌症患者的开放式调查答案进行定性二次主题分析.
- 在线调查数据收集于2022年7月至10月,答案编码于2023年5月.
- 研究团队的诱导编码和主题开发.
主要成果:
- 四个相互关联的主题出现了:盲目的导航,交叉负担,干扰护理,和一个破碎的系统.
- 患者表示,事先授权令人困惑,增加了行政,心理和经济负担.
- 受访者强调了对美国医疗保健系统以利为导向的性质的担忧.
结论:
- 预先授权对接受癌症治疗的患者造成重大负担,影响他们的治疗和福祉.
- 目前的系统被认为是破碎的,强调需要以患者为中心的改革.
- 政策改革对于确保及时获得护理和优先考虑患者体验至关重要.
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