Department of Supportive Care, Oncoclinicas, SMH/N Quadra 02, Ed de Clínicas, 12º Andar, Brasilia, DF, Brazil.
Department of Psychology, Soochow University, Taipei, Taiwan.
Support Care Cancer. 2023 Aug 26;31(9):538. doi: 10.1007/s00520-023-07998-8.
Systematic understanding of patients' unmet needs is essential for providing effective supportive care. This study sought to compare the unmet needs of patients with cancer identified by health care providers (HCPs) among four major healthcare systems.
HCPs (n = 247) participated in the International Psycho-Oncology Society (IPOS) Survivorship Online Survey, evaluating their patients' unmet needs. The country of HCPs was grouped into four major healthcare systems: Beveridge model, Bismarck model, National Health Insurance model, and out-of-pocket model.
Most HCPs were from countries with the Bismarck model. Substantial levels (> 50%) of unmet needs in all domains are reported across the four healthcare systems. Pediatric patients/survivors living in countries under out-of-pocket healthcare model were evaluated to have less unmet needs for managing decline in physical or cognitive functioning and insomnia/sleep difficulty/fatigue, than those in countries under Beveridge, Bismarck, and National Health Insurance models. Moreover, middle-aged patients/survivors under Beveridge and National Health Insurance models were likely to have greater unmet needs for dealing with cancer-related financial concerns than those under Bismarck model.
This study provides valuable insights into the unmet needs of patients with cancer in different healthcare systems, highlighting the significance of targeted interventions to address the unique needs of patients across diverse healthcare systems. Further investigation is warranted to identify the system factors associated with patients' unmet needs, enabling the development of effective healthcare policies and interventions to comprehensively address the multifaceted needs of patients with cancer.
系统地了解患者的未满足需求对于提供有效的支持性护理至关重要。本研究旨在比较四大医疗体系中医疗保健提供者（HCP）识别的癌症患者的未满足需求。
HCP（n=247）参与了国际心理肿瘤学会（IPOS）生存在线调查，评估了他们患者的未满足需求。HCP 的国家被分为四大医疗体系：贝弗里奇模式、俾斯麦模式、国家医疗保险模式和自费模式。
大多数 HCP 来自俾斯麦模式的国家。四个医疗体系中，所有领域都存在大量（>50%）未满足的需求。在自费医疗体系下的儿科患者/幸存者在管理身体或认知功能下降、失眠/睡眠困难/疲劳方面的未满足需求比在贝弗里奇、俾斯麦和国家医疗保险模式下的要少。此外，贝弗里奇和国家医疗保险模式下的中年患者/幸存者在处理与癌症相关的经济问题方面更有可能存在较大的未满足需求，而俾斯麦模式下的则较少。
本研究提供了对不同医疗体系中癌症患者未满足需求的宝贵见解，强调了针对不同医疗体系中患者独特需求进行有针对性干预的重要性。需要进一步研究以确定与患者未满足需求相关的系统因素，从而制定有效的医疗保健政策和干预措施，全面满足癌症患者的多方面需求。
