Hoover Sonja, Subramanian Sujha, Tangka Florence K L, Cole-Beebe Maggie, Sun Amy, Kramer Cheryl L, Pacillio Gina
RTI International, 307 Waverley Oaks Road, Suite 101, Waltham, MA 02452, USA.
RTI International, 307 Waverley Oaks Road, Suite 101, Waltham, MA 02452, USA.
Eval Program Plann. 2017 Jun;62:81-86. doi: 10.1016/j.evalprogplan.2017.01.002. Epub 2017 Jan 7.
Many studies have documented barriers to colorectal cancer screenings. However, there is lack of comprehensive information on the time and costs borne by low-income patients and the persons accompanying the patient (caregiver) for colonoscopies in the United States. We surveyed patients in three health clinics in Philadelphia retrospectively who had undergone free colonoscopies in the previous 18-month period. Participants were asked questions about time and out-of-pockets expenses for themselves and their caregivers. Even when colonoscopies were free to the patient through Colorectal Cancer Control Program funded by the Centers for Disease Control and Prevention, the patient and caregivers still incurred costs in relation to preparing for, undergoing, and recovering from a colonoscopy. These costs can be substantial and may account for some of the low colorectal cancer screening rates especially among the low-income populations. Patients' and caregivers' costs need to be considered when designing and implementing colorectal cancer control programs.
许多研究都记录了结直肠癌筛查的障碍。然而，在美国，关于低收入患者及其陪同人员（护理人员）进行结肠镜检查所花费的时间和成本，缺乏全面的信息。我们对费城三家健康诊所中在过去18个月内接受过免费结肠镜检查的患者进行了回顾性调查。参与者被问及他们自己以及护理人员的时间和自付费用。即使通过疾病控制与预防中心资助的结直肠癌控制项目，患者进行结肠镜检查是免费的，但患者及其护理人员在准备、进行和从结肠镜检查中恢复的过程中仍会产生费用。这些费用可能相当可观，并且可能是导致结直肠癌筛查率较低的部分原因，尤其是在低收入人群中。在设计和实施结直肠癌控制项目时，需要考虑患者和护理人员的费用。
