Neparidze Natalia, Godara Amandeep, Lin Dee, Le Hoa H, Fixler Karen, Shea Lisa, Everson Stephanie, Brittle Christine, Brunisholz Kimberly D
Yale School of Medicine, Yale University, New Haven, CT 06510, USA.
Huntsman Cancer Institute, Salt Lake City, UT 84112, USA.
Healthcare (Basel). 2024 Aug 9;12(16):1587. doi: 10.3390/healthcare12161587.
Patients living with multiple myeloma (MM) have a substantial disease burden and face multiple barriers to care. Building upon our previous research using mixed methods, this focus group research aimed to identify patients' priorities regarding specific social and identity-related needs, map these prioritized needs to the disease journey, and describe patient-generated ideas to improve patient support. Participants noted that patients with MM need a range of emotional, social, and financial support throughout the disease journey. They identified initial MM diagnosis and treatment adherence as two critical points in the MM journey where patients need the most support and assistance. The findings of this research suggest that overall, patients with MM need comprehensive support, ideally from a multidisciplinary team consisting of health care providers, patient advocates, social workers, and psychologists to help patients understand their disease and treatment options, make informed treatment decisions, adhere to treatment, and ultimately reduce their disease burden and improve outcomes. This research revealed that patients with MM need varying types and levels of support, with the most common needs including information on disease and treatment, connections to financial resources and support systems, assistance with navigating insurance options, and transportation and logistical support for medical appointments.
患有多发性骨髓瘤(MM)的患者疾病负担沉重,面临多种护理障碍。基于我们之前使用混合方法进行的研究,本次焦点小组研究旨在确定患者在特定社会和身份相关需求方面的优先事项,将这些优先需求映射到疾病进程中,并描述患者提出的改善患者支持的想法。参与者指出,MM患者在整个疾病进程中需要一系列情感、社会和经济支持。他们将MM的初始诊断和治疗依从性确定为MM进程中的两个关键点,患者在这些点上最需要支持和帮助。这项研究的结果表明,总体而言,MM患者需要全面的支持,理想情况下,这种支持来自一个多学科团队,该团队由医疗保健提供者、患者权益倡导者、社会工作者和心理学家组成,以帮助患者了解他们的疾病和治疗选择,做出明智的治疗决策,坚持治疗,并最终减轻他们的疾病负担并改善治疗结果。这项研究表明,MM患者需要不同类型和程度的支持,最常见的需求包括疾病和治疗信息、与财务资源和支持系统的联系、保险选项导航协助以及医疗预约的交通和后勤支持。