通过优化护理服务来减少青少年和年轻成人癌症结局的差异：来自儿童肿瘤学组的蓝图。
Reducing Adolescent and Young Adult Cancer Outcome Disparities Through Optimized Care Delivery: A Blueprint from the Children's Oncology Group.
机构信息
School of Nursing, Columbia University Irving Medical Center, New York, New York, USA.
Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, New York, USA.
出版信息
J Adolesc Young Adult Oncol. 2023 Jun;12(3):314-323. doi: 10.1089/jayao.2022.0136. Epub 2023 Jan 30.
Abstract
Achieving equitable, high-quality cancer care delivery across socioeconomically and biologically diverse populations requires multilevel interventions, including those at the patient, provider, institution, and policy levels that influence cost, quality, and access to care. For adolescent and young adults (AYAs), who experience suboptimal health outcomes compared with younger and older people with cancer, cancer care delivery is influenced by additional contextual factors unique to the patients' developmental stage, psychosocial and economic status, and cancer subtype. In this review, we highlight the most pressing research needs in AYA cancer care delivery and opportunities to improve outcomes for this population.
摘要
要在社会经济和生物多样性不同的人群中实现公平、高质量的癌症护理服务，需要采取多层次的干预措施，包括在影响成本、质量和护理服务可及性的患者、提供者、机构和政策层面的干预措施。对于青少年和年轻成年人（AYA）来说，他们的健康结果不如年轻和老年癌症患者，癌症护理服务受到与患者发育阶段、心理社会和经济状况以及癌症亚型相关的独特的额外背景因素的影响。在这篇综述中，我们强调了 AYA 癌症护理服务中最紧迫的研究需求，以及改善这一人群预后的机会。
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