Use of scheduled and unscheduled health services by cancer survivors and their caregivers.
Use of scheduled and unscheduled health services by cancer survivors and their caregivers.
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DOI：
10.1007/s00520-022-07157-5
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发表时间：
2022-09
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影响因子：
--
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中科院分区：
文献类型：
--
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其目的是确定接受治疗的癌症幸存者及其非正式照顾者使用计划和计划外卫生服务的预测因素。英语或西班牙语的成年癌症幸存者接受化疗或靶向治疗的实体瘤癌症确定了照顾者（N = 380对）。幸存者和照顾者自我报告了2个月以上的卫生服务使用情况。使用逻辑回归模型将服务使用（住院、急诊[艾德]或紧急护理访视、初级保健、专科保健）的可能性与健康的社会决定因素（年龄、性别、种族、教育水平、健康保险的可用性）和共病数量联系起来。与其他成员的二分体和其他成员的健康服务使用同居被认为是额外的解释变量。合并症的数量是预测的可能性，预定的卫生服务使用，初级保健和专业护理的照顾者，初级保健的幸存者。幸存者接受专科护理的可能性越大，受教育程度越高。年轻和健康保险的可用性与更多的计划外医疗服务使用（幸存者的住院和护理人员的紧急护理或艾德就诊）相关。计划外的卫生服务使用的一个成员的二元预测使用的其他。这些研究结果为通过鼓励更多地使用计划外医疗服务和减少使用计划外医疗服务来优化医疗服务的使用提供了信息。这些教育工作需要特别针对年轻的幸存者和照顾者。
The purpose was to determine predictors of scheduled and unscheduled health services use by cancer survivors undergoing treatment and their informal caregivers. English- or Spanish-speaking adult cancer survivors undergoing chemotherapy or targeted therapy for a solid tumor cancer identified a caregiver (N = 380 dyads). Health services use over 2 months was self-reported by survivors and caregivers. Logistic regression models were used to relate the likelihood of service use (hospitalizations, emergency department [ED] or urgent care visits, primary care, specialty care) to social determinants of health (age, sex, ethnicity, level of education, availability of health insurance), and number of comorbid conditions. Co-habitation with the other member of the dyad and other member’s health services use were considered as additional explanatory variables. Number of comorbid conditions was predictive of the likelihood of scheduled health services use, both primary care and specialty care among caregivers, and primary care among survivors. Greater probability of specialty care use was associated with a higher level of education among survivors. Younger age and availability of health insurance were associated with greater unscheduled health services use (hospitalizations among survivors and urgent care or ED visits among caregivers). Unscheduled health services use of one member of the dyad was predictive of use by the other. These findings inform efforts to optimize health care use by encouraging greater use of scheduled and less use of unscheduled health services. These educational efforts need to be directed especially at younger survivors and caregivers.
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影响因子：
4
作者：
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通讯作者：
Huguet, Nathalie
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影响因子：
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2.9
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Boyd K
影响因子：
3.6
作者：
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通讯作者：
Sabatowski, Rainer