Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre, Obere Zahlbacher Str. 69, 55131, Mainz, Germany.
University Cancer Centre Mainz, Mainz, Germany.
J Cancer Res Clin Oncol. 2023 Jul;149(8):4185-4194. doi: 10.1007/s00432-022-04313-6. Epub 2022 Sep 2.
We compared the perception of office-based haematologists and oncologists regarding the availability of outpatient psycho-social support services (PSSS) for patients with cancer and a migration background, as well as their different experiences with these services.
Data were collected via an online survey addressing the doctors' socio-demographic characteristics and their perception of-and experience with PSSS. The association between socio-demographic characteristics of the doctors and their experiences with PSSS was tested using Pearson's chi-squared test and Kruskal-Wallis test.
A total of 55 doctors were included in this study. More than three doctors in four reported non-sufficient presence of PSSS in foreign languages in their region; one in two reported that the services for patients with migration background should be improved. Most doctors reported missing PSSS in Turkish and Arabic in their region. Doctors with less experience referred patients more often to PSSS hosted in patients' associations (75% vs 25%; p = 0.02), than doctors with more experience. Doctors working in larger cities referred patients less often to PSSS in cancer counselling centres (12% vs 88%; p = 0.01), than doctors working in small or middle-large cities. Male doctors were more satisfied with the network of PSSS' providers, than female doctors (mean score = 2.8 vs 2.2; p = 0.05).
Our results suggest that efforts should be made for a higher regional availability of overall and specific PSSS for non-German speaking patients (especially for Turkish- and Arabic-speaking patients). The experience with PSSS was associated with the doctors' work experience and gender, as well as the location of the practice.
我们比较了基层血液病学家和肿瘤学家对有移民背景的癌症患者的门诊心理社会支持服务（PSSS）的可及性的看法，以及他们对这些服务的不同体验。
通过一项在线调查收集数据，该调查涉及医生的社会人口统计学特征以及他们对 PSSS 的看法和体验。使用 Pearson 卡方检验和 Kruskal-Wallis 检验测试医生的社会人口统计学特征与他们对 PSSS 的体验之间的关联。
本研究共纳入 55 名医生。超过四分之三的医生报告其所在地区的 PSSS 缺乏外语服务；二分之一的医生报告说，应该改善针对移民背景患者的服务。大多数医生报告说，他们所在地区缺少土耳其语和阿拉伯语的 PSSS。经验较少的医生比经验较多的医生更经常将患者转介到患者协会主办的 PSSS（75%比 25%；p=0.02）。在大城市工作的医生比在中小城市工作的医生更不愿意将患者转介到癌症咨询中心的 PSSS（12%比 88%；p=0.01）。男性医生比女性医生对 PSSS 提供者网络更满意（平均得分 2.8 比 2.2；p=0.05）。
我们的研究结果表明，应该努力提高非德语患者（特别是土耳其语和阿拉伯语患者）的整体和特定 PSSS 的区域可及性。对 PSSS 的体验与医生的工作经验、性别以及执业地点有关。
