导航成本和护理:关于瘤学家对印度金融毒性的观点的定性研究
Parth Sharma1, Bhavna Seth2, Vid Karmarkar3
1Association for Socially Applicable Research (ASAR), Pune, Maharashtra, India.
Journal of cancer policy
|August 13, 2025
概括
印度的瘤学家因金融毒性 (FT) 而调整了癌症护理. 解决方案需要系统,医院和提供者层面的变化,以实现公平,负担得起的癌症治疗.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 金融毒性 (FT) 显著影响癌症患者的护理和治疗决策.
- 了解瘤学家对FT的看法对于开发有效的干预措施至关重要.
研究的目的:
- 探索金融毒性如何影响印度瘤学家的临床决策.
- 确定可行的解决方案,以减轻金融毒性对癌症护理的影响.
主要方法:
- 质量研究涉及与印度各类医院的19名瘤学家进行半结构面试.
- 对转录的采访进行主题分析,直到数据和为止.
主要成果:
- 瘤学家报告说,FT影响了治疗讨论,诊断选择,治疗修改 (例如,仿制药) 和患者转诊.
- 财务评估涉及各种医院工作人员和方法,以了解患者的财务状况.
- 建议的解决方案包括卫生系统改革 (保险,定价,仿制药),医院级计划 (患者援助,财务导航) 和提供者级沟通策略.
结论:
- 印度的瘤科医生经常根据患者的财务限制来调整护理.
- 系统,医院和提供者层面的协调干预对于公平和负担得起的癌症护理至关重要.
- 建议制定国家癌症政策和扩大医疗保险覆盖范围.
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