Quinn Gwendolyn P, Vadaparampil Susan T, Bell-Ellison Bethany A, Gwede Clement K, Albrecht Terrance L
College of Medicine, University of South Florida, Tampa, FL 33612, USA.
Soc Sci Med. 2008 Feb;66(3):784-9. doi: 10.1016/j.socscimed.2007.09.013. Epub 2007 Nov 19.
With cancer survival rates increasing, new directions have focused on issues of survivorship, with an intense focus on quality of life. One area gaining increased attention is fertility preservation and future parenthood among cancer survivors. Although medical options for fertility preservation exist, most are not well understood by physicians, patients and family members, and are not readily accessible to patients and their health care providers. This paper discusses the current difficulties in communicating information about fertility preservation in the United States. Physician level of knowledge about fertility preservation, attitudes and comfort level with the topics, patient preferences, and financial and practice barriers may serve as obstacles in the communication process. Social, interaction and behavioral research studies are well poised to address the communication barriers and provide possible solutions to problems in understanding fertility preservation, for patients, family members and health care providers alike.
随着癌症存活率的提高，新的方向聚焦于癌症幸存者的生存问题，尤其关注生活质量。一个日益受到关注的领域是癌症幸存者的生育力保存和未来生育问题。尽管存在生育力保存的医学选择，但大多数医生、患者及其家属对这些选择了解甚少，患者及其医疗服务提供者也难以轻易获得这些服务。本文讨论了美国目前在传达生育力保存信息方面存在的困难。医生对生育力保存的知识水平、对这些话题的态度和舒适度、患者的偏好以及经济和实践障碍，都可能成为沟通中的障碍。社会、互动和行为研究非常适合解决这些沟通障碍，并为患者、家属和医疗服务提供者理解生育力保存问题提供可能的解决方案。
