通过社会生态镜头了解癌症护理中的财务毒性
Joshua A Budhu1, Bridgette Thom2, Fumiko Chino3
1Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, New York.
Current opinion in oncology
|February 18, 2026
概括
财务毒性,癌症护理费用的痛苦,是由个人,人际关系,社区和社会因素驱动的. 解决它需要涉及患者,提供者和政策制定者的多层次干预.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 金融毒性,包括因癌症护理费用造成的物质困难和心理痛苦,是一个越来越令人担忧的问题.
- 增加治疗复杂性和患者成本共享加剧了财务负担.
- 社会生态模型提供了一个框架,以了解超出个人行为范围的金融毒性.
研究的目的:
- 使用社会生态模型对金融毒性的概念化.
- 确定金融毒性的多层次驱动因素.
- 探索各种系统的潜在干预措施.
主要方法:
- 这是一个复习文章.
- 社会生态模型被用作一个概念框架.
- 分析了个人,人际,组织,社区和社会层面的驱动因素和干预措施.
主要成果:
- 金融毒性源于各生态层面相互连接的驱动因素.
- 个人成本,人际沟通,组织实践,社区不平等和社会政策都会产生影响.
- 干预措施的范围从患者导航和财务咨询到政策改革,包括保险设计和药物定价.
结论:
- 一个社会生态的方法强调了需要多层次的干预措施来打击金融毒性.
- 患者,临床医生,机构,社区和决策者之间的协调努力对于进步至关重要.
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