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印度的妇科癌症:医疗保健提供者鲜为人知的观点。

Gynaecological Cancers in India: The Less Heard Perspectives of Healthcare Providers.

机构信息

Curtin School of Population Health, Curtin University, Perth 6102, Australia.

Azim Premji University, Bengaluru 562125, Karnataka, India.

出版信息

Int J Environ Res Public Health. 2023 Jan 26;20(3):2221. doi: 10.3390/ijerph20032221.

Abstract

There has been mounting evidence on the role of healthcare providers in chronic illnesses such as cancer. The specific complexities in their roles to enable health are less heard. Gynaecological cancers have several undercurrents beyond the obvious. Semi-structured interviews were conducted with healthcare providers in Southern India ( = 35) and the data presented in this article were collected as a part of a larger study on the role of communication in the management of gynaecological cancers in India. Thematic analysis of the qualitative data provided information on the providers' perspectives of gynaecological cancers. Patient numbers, cost, time, cultural norms, context, and institutional constraints in cancer care provision are just some of the factors impacting care provision. Healthcare providers are typically acknowledged for the criticality of their roles in the continuum of care. However, our research suggests that the psychological harm and challenges they themselves may face in providing that care are severely neglected. Through listening to healthcare provider voices, clear solutions emerge to better support the practice of those who are responsible for cancer care.

摘要

越来越多的证据表明,医疗保健提供者在癌症等慢性病中的作用至关重要。然而,他们在促进健康方面的具体角色复杂性却鲜为人知。妇科癌症除了明显的问题之外,还有许多潜在的问题。本文的数据来自印度南部的医疗保健提供者的半结构化访谈(= 35),这些数据是作为印度妇科癌症管理中沟通作用的更大研究的一部分收集的。对定性数据的主题分析提供了提供者对妇科癌症观点的信息。影响护理提供的因素有很多,如患者数量、成本、时间、文化规范、背景和医疗机构的限制。医疗保健提供者通常因其在护理连续体中的关键作用而受到认可。然而,我们的研究表明,他们在提供护理时可能面临的心理伤害和挑战严重被忽视了。通过倾听医疗保健提供者的声音,就可以找到明确的解决方案,更好地支持那些负责癌症护理的人的实践。

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