加重或混 - - 解决门诊专科息护理获取的特定背景差异
Hannah Nettelblad1, Rubina Ratnaparkhi2, Sharon Fitzgerald-Wolff3
1Department of Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, KS, USA.
Annals of palliative medicine
|February 9, 2026
概括
农村地区的妇科癌症患者或缺乏初级保健服务的患者不太可能获得息治疗转诊. 了解健康的社会决定因素 (SDOH) 对于改善公平获得息护理服务至关重要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素 (SDOH)
背景情况:
- 专门的息治疗显著改善了妇科癌症患者的治疗结果,但转诊率仍然很低 (20-30%).
- 公平获得息治疗是个挑战,尤其对社会经济弱势和边缘化群体来说.
- 健康的社会决定因素 (SDOH) 对妇科瘤学息护理利用的影响还未得到充分研究.
研究的目的:
- 评估妇科瘤学患者的门诊专科息护理转诊率.
- 评估与健康社会决定因素 (SDOH) 相关的息护理转诊的差异.
主要方法:
- 对符合美国临床瘤学会 (ASCO) 转诊标准 (2019-2022) 的妇科瘤学患者进行了回顾性队列质量改善研究.
- 分析包括临床因素 (年龄,癌症部位/阶段,BMI) 和SDOH (种族,保险,母语,PCP状态,距离,农村,地区贫困指数).
- 使用多变量后勤回归来确定转介的显著预测因素.
主要成果:
- 在432名符合条件的患者中,有44%的患者被转诊,34%的患者看到了息治疗提供者.
- 农村县的患者 (OR 0.3) 和与初级保健提供者 (PCP) 联系的患者 (OR 1.8) 在转诊概率上有显著差异.
- 农村和获得初级保健的机会成为影响转诊决定的关键SDOH.
结论:
- 居住在农村,偏远或弱势地区的妇科癌症患者,或那些已建立初级保健的患者,不太可能被转诊治疗.
- 农村和获得初级保健是主要的SDOH,影响了该人口中的息治疗转诊.
- 了解SDOH对于开发有针对性的质量改善干预措施至关重要,以确保公平获得息治疗.
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