检查卫生系统利益相关者报告的前肠癌护理障碍和解决方案
Jaspinder Sanghera1, Ioannis Liapis1, Nritya Nair1
1University of Alabama at Birmingham, Department of Surgery, 1808 7th Avenue South, Boshell Diabetes Building, Birmingham, AL, 35233, USA; University of Alabama at Birmingham, Institute for Cancer Outcomes and Survivorship, Lowder Bldg., Suite 500, 1600 7th Avenue South, Birmingham, AL, 35233, USA.
许多前肠癌患者面临治疗障碍. 卫生系统的利益相关者确定了多层次的挑战,并提出了解决方案,重点关注沟通和系统集成,以改善护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 胃肠病学 胃肠病学
背景情况:
- 预先发现的癌症往往得到不理想的治疗.
- 利益相关者对治疗障碍和解决方案的看法并未得到充分理解.
研究的目的:
- 探讨卫生系统利益相关者的观点,以指导方针一致的前肠癌治疗的障碍.
- 确定可行的解决方案,以改善前肠癌护理的提供.
主要方法:
- 基于理论的方法论.
- 与卫生系统利益相关者进行了12次半结构面试.
主要成果:
- 确定了多层次的障碍:个人 (金融毒性,社会心理困难),提供者 (沟通缺口),机构 (访问延迟,资源限制) 和政策 (碎片化,农村访问,报销).
- 建议的解决方案:加强精神病学支持,改善提供者之间的参与,简化转诊,招聘农村医生和报销改革.
结论:
- 利益相关者主张以通信,导航和系统集成为中心的干预措施.
- 这些策略可能会增强前肠癌的治疗,特别是在资源有限的环境中.
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