UCLA School of Nursing, Jonsson Comprehensive Cancer Center, Los Angeles, CA, USA.
Semin Oncol Nurs. 2011 Nov;27(4):267-77. doi: 10.1016/j.soncn.2011.07.005.
To explore links between access to care and quality of life for underserved men with prostate cancer through a literature review.
Articles published from 2000 to present based on a PubMed search using the key words access, quality of life, health care access, underserved, low-income, health literacy, and prostate cancer.
There is not one reason that adequately explains factors affecting access, health-related quality of life (HRQOL), or the potential relationships between the two for underserved men with prostate cancer. Socioeconomic factors contribute to accessibility and HRQOL, but not consistently, suggesting that there is still much work to be done in identifying factors and relationships that connect access to care and HRQOL for underserved men with prostate cancer.
Particularly important is to develop intervention strategies to address the disparities in access to care and prostate cancer treatment outcomes (including HRQOL) for this vulnerable population. Based on findings from studies, nurses need to be actively involved in the development and implementation of programs that address multiple barriers including socioeconomic status, minority status, health literacy, insurance, and language.
通过文献回顾,探讨服务不足的前列腺癌男性获得医疗服务与生活质量之间的关系。
根据使用关键词“access(获得)”、“quality of life(生活质量)”、“health care access(医疗保健获得)”、“underserved(服务不足)”、“low-income(低收入)”、“health literacy(健康素养)”和“prostate cancer(前列腺癌)”在 PubMed 上进行的搜索,从 2000 年至今发表的文章。
没有一个充分的原因可以解释影响服务不足的前列腺癌男性获得医疗服务、健康相关生活质量(HRQOL)或两者之间潜在关系的因素。社会经济因素会影响可及性和 HRQOL,但并非始终如此,这表明仍有许多工作要做,以确定与服务不足的前列腺癌男性获得医疗服务和 HRQOL 相关的因素和关系。
特别重要的是制定干预策略,以解决这一弱势群体在获得医疗服务和前列腺癌治疗结果(包括 HRQOL)方面的差异。基于研究结果,护士需要积极参与制定和实施方案,以解决包括社会经济地位、少数民族地位、健康素养、保险和语言在内的多种障碍。