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放疗服务获取中医生和患者面临的障碍:治疗转诊的影响

Physician And Patient Barriers To Radiotherapy Service Access: Treatment Referral Implications.

作者信息

Chierchini Sara, Ingrosso Gianluca, Saldi Simonetta, Stracci Fabrizio, Aristei Cynthia

机构信息

Radiation Oncology Section, Department of Surgical and Biomedical Sciences, University of Perugia and Perugia General Hospital, Perugia, Italy.

Department of Experimental Medicine, Section of Public Health, University of Perugia, Perugia, Italy.

出版信息

Cancer Manag Res. 2019 Oct 7;11:8829-8833. doi: 10.2147/CMAR.S168941. eCollection 2019.

Abstract

Radiotherapy is one of the mainstays of cancer treatment, and about 60% of cancer patients receive this type of treatment during their course of treatment. An evident gap between optimal and actual radiotherapy utilization proportions has recently been reported, which has been ascribed to lack of referral to radiation oncology. There are many factors influencing the radiotherapy referral, including patient anxiety about toxicity, wrong perception of efficacy and side effects by physicians and patients, insufficient knowledge of referral process. These factors, defined as barriers can be categorized in health system barriers, physician and patient barriers. In the present brief narrative review, we discussed barriers to radiotherapy referral focusing on physician and patient barriers.

摘要

放射治疗是癌症治疗的主要手段之一,约60%的癌症患者在治疗过程中接受这种治疗。最近有报道称,最佳放疗利用率与实际放疗利用率之间存在明显差距,这归因于缺乏转诊至放射肿瘤学。有许多因素影响放疗转诊,包括患者对毒性的焦虑、医生和患者对疗效及副作用的错误认知、对转诊流程的了解不足。这些被定义为障碍的因素可分为卫生系统障碍、医生和患者障碍。在本简要叙述性综述中,我们讨论了放疗转诊的障碍,重点关注医生和患者障碍。

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