Access to Cancer Care Resources in a Federally Qualified Health Center: a Mixed Methods Study to Increase the Understanding of Met and Unmet Needs of Cancer Survivors.
Access to Cancer Care Resources in a Federally Qualified Health Center: a Mixed Methods Study to Increase the Understanding of Met and Unmet Needs of Cancer Survivors.
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在联邦合格的健康中心获得癌症护理资源：一项混合方法研究，以增加对癌症幸存者的满足和未满足需求的了解。
DOI：
10.1007/s13187-019-01669-1
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Lathan,Christopher
中科院分区：
文献类型：
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作者：
Somayaji,Darryl;Melendez,Maribel;Kwon,Misol;Lathan,Christopher
评估癌症幸存者已满足和未满足的需求对于优化癌症服务的获得至关重要，特别是在服务不足的人群中。本研究的目的是扩大我们对种族/民族和服务不足人群中癌症生存率的优先需求的理解，这些人群讲英语或西班牙语，并在联邦合格的健康中心（CIMHC）寻求医疗保健。本研究采用了融合调查和焦点小组数据的混合方法设计。共有17名参与者参加了这项研究。通过查看前十名匹配的调查和焦点小组满足和未满足的需求，包括心理，信息和卫生系统以及患者护理和支持，得出了元推断。受试者的首选语言为西班牙语53%（n= 9）和英语47%（n= 8），0-5年生存率为65%（n= 11），其中17.5%（n= 3），6-10年和17.5%（n= 3），17.5%（n= 3）>11年。最常得到满足的需求包括保健提供者和医院工作人员关注他们的身体和情感需求，并感到他们受到尊重。未满足的需求往往与身体和日常生活需求有关，如疼痛、疲劳、悲伤、抑郁和无法工作。在社区卫生中心或类似的社区卫生中心提供基于需求的癌症健康服务，对于满足癌症幸存者改善健康结果和生活质量的需求至关重要。
Assessing the met and unmet needs of cancer survivors is critical in optimizing access to cancer services especially in underserved populations. The purpose of this study is to expand our understanding of the priority needs for cancer survivorship within racial/ethnic and underserved populations that speak either English or Spanish and seek health care in a federally qualified health center (FQHC). A convergent mixed methods design integrating survey and focus group data was utilized for this study. A total of 17 participants were enrolled in the study. The meta-inferences were drawn by looking across the top ten matched survey and focus group met and unmet needs including psychological, informational, and health system as well as patient care and support. The preferred languages of participants were Spanish 53% (n= 9) and English 47% (n= 8), and the survival breakdown was 65% (n= 11) within 0–5 years with 17.5% (n= 3), 6–10 years and 17.5% (n= 3), and 17.5% (n= 3)>11 years. The most frequently met needs included health care providers and hospital staff being attentive to their physical and emotional needs and feeling they were treated with respect. Unmet needs were often related to physical and daily living needs such as pain, fatigue, sadness, depression, and not being able to work. Providing a needs-based approach of cancer health services in a FQHC or similar community-based health center is critical to meet the needs of cancer survivors to improve health outcomes and quality of life.