2009年至2022年期间，采用“医疗荒漠”视角对罗马尼亚西北地区的癌症护理服务进行混合方法分析。
Applying a "medical deserts" lens to cancer care services in the North-West region of Romania from 2009 to 2022 - a mixed-methods analysis.
作者信息
Brînzac Monica Georgiana, Ungureanu Marius Ionuț, Baba Cătălin Ovidiu
机构信息
Department of Public Health, Faculty of Political, Administrative, and Communication Sciences, Babeș-Bolyai University, Universitas Building, No. 7 Pandurilor Street 9 Floor, 400095, Cluj-Napoca-Napoca, Romania.
EUPHAnxt, European Public Health Association, Utrecht, Netherlands.
出版信息
Arch Public Health. 2024 Sep 5;82(1):149. doi: 10.1186/s13690-024-01353-x.
BACKGROUND
Medical deserts pose significant challenges to healthcare systems worldwide, leading to unmet healthcare needs and exacerbated health issues, particularly in underserved regions.
METHODS
This study aims to characterise cancer care services in the North-West region of Romania through the lens of medical desertification, employing a mixed-methods approach. Quantitative analysis - descriptive statistics - of secondary data from the Activity of Healthcare Units reports from 2009 to 2022, along with qualitative data - thematic analysis - from interviews with cancer patients and healthcare professionals, were employed to uncover the current state of cancer care in Romania.
RESULTS
The qualitative analysis highlighted the prevalence of medical deserts in oncology, with inadequate human resources, facility deficiencies, prolonged waiting times, high costs, and socio-cultural barriers hindering access to cancer care. Opportunities for action include revising treatment protocols, enhancing palliative care, implementing prevention strategies, promoting collaboration among healthcare professionals, and digitalising the healthcare system. However, challenges persist, including a shortage of oncology specialists, geographical disparities in cancer prevalence, and limited access to advanced treatment modalities in rural areas.
CONCLUSIONS
Addressing medical deserts in cancer care requires comprehensive approaches, including strategic resource allocation, workforce development, infrastructure investments, access to innovative treatments, and digital health technologies. Collaboration among policymakers, healthcare providers, and communities is crucial to mitigating medical deserts and improving cancer outcomes. Despite limitations, this study provides valuable insights into cancer care services and underscores the need for concerted efforts to overcome medical desertification and ensure equitable access to high-quality cancer care.
背景
医疗荒漠给全球医疗体系带来了重大挑战，导致医疗需求未得到满足，健康问题加剧，尤其是在医疗服务不足的地区。
方法
本研究旨在通过医疗荒漠化的视角，采用混合方法来描述罗马尼亚西北部地区的癌症护理服务情况。运用定量分析——描述性统计——对2009年至2022年医疗单位活动报告中的二手数据进行分析，并结合定性数据——主题分析——对癌症患者和医疗专业人员的访谈数据，以揭示罗马尼亚癌症护理的现状。
结果
定性分析突出了肿瘤学领域医疗荒漠的普遍存在，人力资源不足、设施缺陷、等待时间过长、成本高昂以及社会文化障碍阻碍了人们获得癌症护理。行动机会包括修订治疗方案、加强姑息治疗、实施预防策略、促进医疗专业人员之间的合作以及医疗系统数字化。然而，挑战依然存在，包括肿瘤学专家短缺、癌症患病率的地理差异以及农村地区获得先进治疗方式的机会有限。
结论
解决癌症护理中的医疗荒漠问题需要综合方法，包括战略资源分配、劳动力发展、基础设施投资、获得创新治疗以及数字健康技术。政策制定者、医疗服务提供者和社区之间的合作对于减轻医疗荒漠和改善癌症治疗结果至关重要。尽管存在局限性，但本研究为癌症护理服务提供了有价值的见解，并强调需要共同努力克服医疗荒漠化，确保公平获得高质量的癌症护理。
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