从一个以患者为中心的肺癌导航计划的洞察力在一个低资源社区
Tanyanika Phillips1, Anjaney Kothari2, Africa Robison3
1Department of Medical Oncology and Developmental Therapeutics, City of Hope National Medical Center, Duarte, CA 91010, USA.
Current oncology (Toronto, Ont.)
|September 26, 2025
概括
在一个资源较低的社区,一个远程医疗的非专业导航者计划有效地解决了癌症护理障碍,如交通和互联网不安全. 这种以患者为中心的方法在改善弱势群体获取医疗服务方面显示出可行性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 癌症治疗的障碍,如交通和互联网的不安全性,不成比例地影响着资源较低的社区.
- 以患者为中心的方法对于减轻癌症检测和管理中的这些挑战至关重要.
研究的目的:
- 评估基于远程医疗的,以障碍为重点的非专业导航程序的可行性,用于低资源环境中患有肺癌的患者.
- 确定癌症护理的常见障碍及其与错过预约的关联.
主要方法:
- 在莫哈维沙漠进行了一项质量改进项目,这是一个资源较低的社区.
- 一个远程医疗的非专业人员导航程序被开发和交付给55名患者接受肺癌治疗.
- 患者完成了障碍评估,并收集了有关人口统计,诊断和预约遵守的数据.
主要成果:
- 大多数参与者是老年人 (76%),白人 (84%),来自社会经济弱势社区.
- 60%的患者报告至少有一个障碍,最常见的是交通 (31%),互联网 (24%) 和财务 (24%) 问题.
- 交通和互联网障碍与错过的预约有很大关系.
结论:
- 基于远程医疗的,以障碍为重点的非专业导航者计划是改善贫困环境中癌症护理的可行干预措施.
- 了解社区环境和规划资源分配对于实施类似计划至关重要.
- 解决交通和互联网接入等特定障碍可以减少错过预约并提高患者的遵守.
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