Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, The University of Eastern Finland, P.O. Box 1627, Kuopio, 70211, Finland.
Strategic Research Center (Öz SRC), Incili Pinar MAH, Gazi Muhtar Paşa BUL, Doktorlar Sitesi, 38E, 104. Sehitkamil, 27090, Gaziantep, Türkiye.
BMC Health Serv Res. 2024 May 18;24(1):641. doi: 10.1186/s12913-024-11077-x.
The ongoing crisis in Syria has divided the country, leading to significant deterioration of the healthcare infrastructure and leaving millions of people struggling with poor socioeconomic conditions. Consequently, the affordability of healthcare services for the population has been compromised. Cancer patients in Northwest Syria have faced difficulties in accessing healthcare services, which increased their financial distress despite the existence of humanitarian health and aid programs. This study aimed to provide insights into how humanitarian assistance can alleviate the financial burdens associated with cancer treatment in conflict-affected regions.
This research employed a quantitative, quasi-experimental design with a pre-test-post-test approach, focusing on evaluating the financial toxicity among cancer patients in Northwest Syria before and after receiving humanitarian aid. The study used purposeful sampling to select participants and included comprehensive demographic data collection. The primary tool for measuring financial toxicity was the Comprehensive Score for Financial Toxicity (FACIT-COST) tool, administered in Arabic. Data analysis was conducted using SPSS v25, employing various statistical tests to explore relationships and impacts.
A total of 99 cancer patients were recruited in the first round of data collection, out of whom 28 patients affirmed consistent receipt of humanitarian aid throughout the follow-up period. The results of the study revealed that humanitarian aid has no significant relationship with reducing the financial toxicity experienced by cancer patients in Northwest Syria. Despite the aid efforts, many patients continued to face significant financial distress.
The research findings indicate that current humanitarian assistance models might not sufficiently address the complex financial challenges faced by cancer patients in conflict zones. The research emphasizes the need for a more comprehensive and integrated approach in humanitarian aid programs. The study highlights the importance of addressing the economic burdens associated with cancer care in conflict settings and calls for a re-evaluation of aid delivery models to better serve the needs of chronic disease patients. The findings suggest a need for multi-sectoral collaboration and a systemic approach to improve the overall effectiveness of humanitarian assistance in such contexts.
叙利亚持续的危机导致该国分裂,医疗基础设施严重恶化,数百万人生活在贫困的社会经济条件下。因此,民众获得医疗服务的负担能力受到影响。叙利亚西北部的癌症患者在获得医疗服务方面遇到困难,尽管存在人道主义健康和援助计划,但这增加了他们的经济困境。本研究旨在深入了解人道主义援助如何减轻受冲突影响地区癌症治疗相关的经济负担。
本研究采用定量、准实验设计,采用前后测试方法,重点评估叙利亚西北部癌症患者在接受人道主义援助前后的财务毒性。研究采用目的抽样选择参与者,并收集全面的人口统计数据。衡量财务毒性的主要工具是综合财务毒性评分(FACIT-COST)工具,以阿拉伯语进行管理。使用 SPSS v25 进行数据分析,采用各种统计检验方法来探索关系和影响。
在第一轮数据收集时共招募了 99 名癌症患者,其中 28 名患者在整个随访期间确认持续获得人道主义援助。研究结果表明,人道主义援助与减轻叙利亚西北部癌症患者所经历的财务毒性之间没有显著关系。尽管有援助努力,但许多患者仍然面临重大的经济困境。
研究结果表明,当前的人道主义援助模式可能无法充分解决冲突地区癌症患者面临的复杂财务挑战。研究强调需要在人道主义援助计划中采取更全面和综合的方法。该研究强调了在冲突环境中解决癌症护理相关经济负担的重要性,并呼吁重新评估援助提供模式,以更好地满足慢性病患者的需求。研究结果表明,需要多部门合作和系统方法,以提高人道主义援助在这种情况下的整体效果。