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首页> 外文期刊>Journal of Clinical Medicine Research >A Cross-Sectional Study Evaluating Potential Differences in the Need for Cancer Survivorship Care in Relation to Patients’ Socioeconomic Status
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A Cross-Sectional Study Evaluating Potential Differences in the Need for Cancer Survivorship Care in Relation to Patients’ Socioeconomic Status

机译：一项跨部门研究，评估与患者的社会经济状况相关的癌症幸存者护理需求的潜在差异

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Background: There seems to be inequity within cancer survivorship care in primary care settings related to gender, shorter education, and early poor health, but there is uncertainty regarding the character of the needs in hospital and in primary care settings and whether there is inequity regarding meeting these needs. This study aims to describe potential differences in needs among patients in hospital and in primary care settings, and to assess the need for survivorship care and rehabilitation in patients with cancer in relation to socioeconomic status. Methods: In a cross-sectional study including patients in hospital (n = 89) and primary care settings (n = 99), information from needs assessments was linked with population-based data on socioeconomic status via unique personal identification numbers. The association between socioeconomic status and stated needs was analyzed separately for patients in hospital and primary care settings, with adjustment for age and gender. Results: A total of 90% patients expressed one or more needs in the physical area, 51% in the emotional area, and 40% in the practical area. Patients in primary care expressed more needs than patients in hospital. Men expressed more needs than women in primary care (adjusted odds ratio (OR) (95% confidence interval (CI)): 2.66 (1.04 - 6.79)). The results indicate that higher socioeconomic status is associated with fewer stated needs. Conclusions: This study suggests that the association between gender and stated needs may depend on healthcare setting and confirms that higher socioeconomic status in relation to civil status, educational level, income, and labor market status is associated with fewer stated needs.
机译：背景：在与性别，受教育时间短和早期健康状况差有关的初级保健机构中，癌症幸存者护理中似乎存在不平等现象，但对于医院和初级保健机构中的需求特征以及是否存在不公平性，尚不确定满足这些需求。这项研究旨在描述在医院和基层医疗机构中患者之间潜在的需求差异，并评估与社会经济状况相关的癌症患者的生存护理和康复需求。方法：在一项横断面研究中，包括住院患者（n = 89）和基层医疗机构（n = 99），需求评估的信息通过独特的个人识别码与基于人口的社会经济状况数据相关联。对住院和基层医疗机构患者的社会经济状况与陈述的需求之间的关系进行了分析，并根据年龄和性别进行了调整。结果：总共90％的患者在身体方面表达了一种或多种需求，在情感方面表达了51％，在实践方面表达了40％。初级保健患者比医院患者表示更多的需求。在初级保健中，男性比女性表现出更多的需求（调整后的优势比（OR）（95％置信区间（CI）：2.66（1.04-6.79）））。结果表明，较高的社会经济地位与较少的既定需求有关。结论：这项研究表明，性别与既定需求之间的关联可能取决于医疗机构，并证实与公民身份，教育水平，收入和劳动力市场状况相关的较高社会经济地位与较少的既定需求相关。

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