失去了跟踪:在肺癌查中的社会决定因素和患者的看法 坚持 追踪:在肺癌查中的社会决定因素和病人看法
Masashi Azuma1, Alexander Nguyen2, Anastasiia K Tompkins1
1Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Clinical lung cancer
|November 4, 2025
概括
财政问题和交通障碍阻碍了肺癌查 (LCS) 的遵守,特别是在非白人和女性人口中. 建立患者提供者信任可以帮助克服这些障碍,以减少癌症死亡率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 使用低剂量计算机断层扫描 (LDCT) 的肺癌查已被证明可以降低癌症死亡率,但利用率较低.
- 健康的社会决定因素 (SDOH) 越来越多地被认为是影响医疗保健获取和遵守的关键因素.
研究的目的:
- 调查SDOH的影响,包括财务问题,运输障碍和患者提供者信任,对遵守年度LCS的影响.
- 确定导致城市,安全网学术卫生系统中LCS利用不足的具体障碍.
主要方法:
- 一项前性队列研究调查了236名参与者,他们最初接受了LDCT,但没有遵守年度随访.
- 调查评估了人口统计,财务和交通问题,患者与医疗服务提供者的关系以及种族歧视的经历.
- 通过描述性统计,千-平方测试和斯皮尔曼相关性来分析数据,以确定有意义的关联.
主要成果:
- 担心成本问题 (54.4%) 和交通便利 (13.3%) 是LCS遵守的主要障碍.
- 与白人和男性参与者相比,非白人和女性参与者获得交通工具的机会明显更为有限.
- 非白人和女性患者报告说,他们对提供者有更高的信任度和舒适度,而非白人参与者对种族歧视的看法更高.
结论:
- 尽管有保险覆盖,但成本仍然是LCS遵守的主要障碍.
- 患者与医疗服务提供者之间的信任是解决个人障碍和提高LCS遵守率的关键因素.
- 解决金融和运输障碍的有针对性的干预措施对于增加LCS利用率和减少肺癌死亡人数至关重要.
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