社会决定因素对癌症退伍军人护理的影响:一项定性研究
Sam Z Thalji1, M Muska Nataliansyah2, Meghan Conroy2
1Department of Surgery/Division of Surgical Oncology, Medical College of Wisconsin, 8701 W. Watertown Plank Road, Milwaukee, WI, 53226, USA. sthalji@mcw.edu.
概括
社会问题对退伍军人的癌症治疗结果产生重大影响. 通过改善沟通和综合护理规划,解决健康的社会决定因素 (SDOH) 对于更好的退伍军人护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
- 健康的社会决定因素
背景情况:
- 退伍军人健康管理局的举措旨在改善初级保健中的社会健康决定因素 (SDOH) 监测.
- 退伍军人的初级保健和癌症护理专业之间仍然存在低于最佳的沟通.
研究的目的:
- 探索健康的社会决定因素 (SDOH) 如何影响癌症退伍军人.
- 确定初级保健和退伍军人癌症护理之间的沟通道的优缺点.
- 为改善退伍军人癌症护理中SDOH支持的干预提供信息.
主要方法:
- 在VA医疗中心对初级保健医生,社会工作者和癌症护理医生进行了深入采访.
- 利用基于基础理论的诱导分析,从转录的采访中确定关键主题.
- 专注于参与者对SDOH影响和跨专业沟通的描述.
主要成果:
- 出现了四个主要主题:社会问题扰乱了治疗,社会挑战转移了资源,导航系统需要经验,所有护理团队成员都在解决SDOH方面发挥作用.
- 常见的SDOH影响退伍军人患癌症包括住房不稳定,交通,粮食不安全和缺乏社会支持.
- SDOH和互设通信被确定为治疗癌症退伍军人的主要障碍.
结论:
- 在治疗前对社会问题进行结构化的讨论可以增强癌症退伍军人的社会支持和护理.
- 开发的干预措施包括为SDOH需求提供电子医疗记录模板,并将初级保健/社会工作者纳入瘤委员会.
- 在癌症护理计划中早期整合SDOH考虑对于改善退伍军人的结果至关重要.
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