Nutrition and Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
Milton S. Hershey College of Medicine, Public Health Sciences, Pennsylvania State University, Hershey, PA, USA.
J Natl Cancer Inst Monogr. 2023 May 4;2023(61):140-148. doi: 10.1093/jncimonographs/lgad002.
The evidence to support the benefits of exercise for people living with and beyond cancer is robust. Still, exercise oncology interventions in the United States are only eligible for coverage by third-party payers within the restrictions of cancer rehabilitation settings. Without expanded coverage, access will remain highly inequitable, tending toward the most well-resourced. This article describes the pathway to third-party coverage for 3 programs that address a chronic disease and utilize exercise professionals: the Diabetes Prevention Program, Supervised Exercise Training for Peripheral Artery Disease, and Cancer Rehabilitation. Lessons learned will be applied toward expanding third-party coverage for exercise oncology programming.
支持患有癌症及已康复人群进行运动的证据确凿。尽管如此，美国的运动肿瘤学干预措施仅在癌症康复环境的限制下，有资格通过第三方支付者进行报销。如果没有扩大覆盖范围，那么获得机会仍将高度不均等，倾向于资源最丰富的人群。本文描述了 3 个针对慢性疾病并利用运动专业人员的项目获得第三方报销的途径：糖尿病预防计划、外周动脉疾病监督运动训练和癌症康复。将应用这些经验教训来扩大运动肿瘤学项目的第三方报销范围。
