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“人们给出意见,但决定权在患者手中”:审视佛罗里达州中部拉丁裔群体的癌症治疗决策

"People Give Opinions, but the Decision Belongs to the Patient": Examining Cancer Treatment Decisions Among Latinos/as in Central Florida.

作者信息

Carrion Iraida V, Nedjat-Haiem Frances R, Estapé Tania, Franco-Estrada Lucia

机构信息

School of Social Work, University of South Florida, 13301 Bruce B. Downs Blvd. MHC 1438, Tampa, FL, 33612-3807, USA.

School of Social Work, New Mexico State University, 1335 International Mall, Las Cruces, NM, 88003-8001, USA.

出版信息

J Immigr Minor Health. 2018 Aug;20(4):936-942. doi: 10.1007/s10903-017-0628-y.

Abstract

Latinos/as, the fastest-growing ethnic group in the United States, experience high cancer rates. Factors contributing to treatment decisions among Latinos diagnosed with cancer must be studied. This paper aims to identify treatment decisions among Latinos with cancer and examine factors influencing these decisions. A qualitative exploratory study using semi-structured interviews of 60 Latino/as diagnosed with cancer was conducted. Close-ended responses were analyzed using percentages and frequency distributions, while open-ended responses were analyzed using open coding and thematic categorization. Surgery was the most commonly chosen treatment among participants because it was perceived as providing the highest chance of prolonging life. Only 57% of participants were provided with treatment options. Latinos/as typically prefer modest, paternalistic patient-physician relationships. Therefore, providing culturally appropriate information is valuable. This study underscores the need for health providers to present all available treatment options to enhance cancer treatment outcomes.

摘要

拉丁裔是美国增长最快的族裔群体,癌症发病率很高。必须研究影响被诊断患有癌症的拉丁裔患者治疗决策的因素。本文旨在确定患有癌症的拉丁裔患者的治疗决策,并研究影响这些决策的因素。我们进行了一项定性探索性研究,对60名被诊断患有癌症的拉丁裔患者进行了半结构化访谈。对封闭式回答使用百分比和频率分布进行分析,而对开放式回答则使用开放式编码和主题分类进行分析。手术是参与者中最常选择的治疗方式,因为它被认为提供了延长生命的最大机会。只有57%的参与者获得了治疗选择。拉丁裔通常更喜欢适度的、家长式的医患关系。因此,提供符合文化背景的信息很有价值。这项研究强调了医疗服务提供者提供所有可用治疗选择以提高癌症治疗效果的必要性。

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