Saint Louis University Center for Health Outcomes Research, Saint Louis University Center for Interprofessional Education and Research, 3545 Lafayette Ave., Salus Center, Room 409, St. Louis, MO, 63104, USA.
Saint Louis University Center for Health Outcomes Research, 3545 Lafayette Ave., Salus Center, 4th Floor, St. Louis, MO, 63104, USA.
J Community Health. 2017 Dec;42(6):1156-1162. doi: 10.1007/s10900-017-0365-0.
The purpose of this study is to investigate the prevalence of receipt of written documentation of follow up care and of cancer treatments and to examine the predictors of receipt of such written documentation. Data from the 2010 National Health Interview Survey was used to identify individuals 18 years or older with a history of cancer. Binary and multinomial logistic regression were used to investigate patient-level variables associated with receipt of written documentation of cancer treatment, written advice about follow-up care, or both written documents. Patient-level variables included in the analysis were age, gender, region of residence, race/ethnicity, marital status, education level, insurance coverage, cancer type, employment status, and psychosocial support. Of the 1185 responses to the questions used to access receipt of a SCP, the prevalence of any receipt of a written documentation was 68%, where 30% obtained written advice only and 8% were provided a written treatment summary only; only 31% received both. Non-white race, cancer type, and psychosocial services were associated with increased odds of receiving written documentation. Patient-level characteristics are associated with receipt of care plan documentation. Further work needs to investigate the interaction of provider and patient-level characteristics. Understanding patient-level characteristics associated with receipt of written documentation may help uncover strategies for improved survivorship care plan implementation.
本研究旨在调查接受随访护理和癌症治疗书面记录的情况，并探讨接受此类书面记录的预测因素。使用 2010 年全国健康访谈调查的数据来确定 18 岁或以上有癌症病史的个体。使用二项和多项逻辑回归来调查与接受癌症治疗书面记录、随访护理书面建议或两者均有书面文件相关的患者水平变量。纳入分析的患者水平变量包括年龄、性别、居住地区、种族/民族、婚姻状况、教育程度、保险覆盖范围、癌症类型、就业状况和社会心理支持。在用于评估 SCP 接受情况的 1185 个问题的回答中，任何书面记录的接受率为 68%，其中 30%仅获得书面建议，8%仅获得书面治疗总结；只有 31%的人同时获得了这两者。非白种人种族、癌症类型和社会心理服务与接受书面记录的几率增加相关。患者水平特征与护理计划文档的接受情况相关。需要进一步研究提供者和患者水平特征的相互作用。了解与接受书面记录相关的患者水平特征可能有助于发现改善生存护理计划实施的策略。
