通过癌症护理的背景下,通过患者导航解决障碍
Elizabeth S Ver Hoeve1, Patrick Wightman2, Elizabeth Calhoun3
1Department of Family Medicine and Community Health, University of Wisconsin-Madison, Madison, WI, 53705, USA. elizabeth.verhoeve@fammed.wisc.edu.
概括
在癌症护理患者导航计划中,解决财务障碍是最具挑战性的. 了解障碍类型可以帮助优化导航服务,以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者导航 患者导航
背景情况:
- 患者导航计划通过减少障碍来改善癌症护理.
- 描述特定的障碍及其解决是优化这些程序的关键.
研究的目的:
- 在以社区为重点的患者导航计划中分析障碍解决率.
- 通过患者导航确定哪些类型的障碍最容易被解决.
主要方法:
- 一项为期3个月的长期研究,对207名癌症患者进行了社区导航计划.
- 在干预前和干预后评估了障碍.
- 后勤回归分析了医疗接入,金融和心理社会领域的解决可能性.
主要成果:
- 患者报告平均有3.54个障碍,其中健康获取和金融领域最常见.
- 解决金融障碍的可能性明显低 (OR=0.61).
- 与其他患者相比,只有经济障碍的患者的解决率降低了77%.
结论:
- 在这个患者导航计划中,财务障碍是解决问题的最大挑战.
- 识别特定的障碍类型有助于定制和优化患者导航服务.
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