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首页> 外文期刊>The American journal of hospice and palliative care >Defaulting oncology patient in a multispecialty state-run hospital in India.
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Defaulting oncology patient in a multispecialty state-run hospital in India.

机译：印度一家综合性国营医院的默认肿瘤科患者。

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摘要

A 14-year-old boy diagnosed with primitive neuroectodermal tumor of the L5 vertebra defaulted from his treatment, which significantly contributed to the progression of his disease. The possible causes of defaulting were (1) poor doctor/patient rapport, (2) inadequate communication between doctor and patient about the disease and its treatment, (3) unavailability of a "no show" defaulters' compliance program and case managers, (4) patients' economic constraints, (5) additional inconveniences because of referrals and consultations in a large multispecialty state-run hospital, and (6) patient's low education level and poor understanding of the disease and its treatment. Defaulting is multifactorial but can be contained. Good doctor/patient rapport, with emphasis on effective communication is important in improving compliance. Institutional administrative procedures should be more user-friendly. Medical institutions should consider having a "no show" defaulters' compliance program and case managers in those specialties where defaulting can adversely affect the clinical outcome.
机译：一个14岁的男孩被诊断​​出患有L5椎体的原始神经外胚层肿瘤，因此没有接受治疗，这极大地促进了他的疾病的发展。导致违约的可能原因是：（1）医生/患者关系不佳;（2）医患之间就该疾病及其治疗方法缺乏充分的沟通;（3）无法使用“未出现”违约者的依从计划和案件经理，（ 4）患者的经济限制，（5）由于在大型国立综合专科医院进行转诊和咨询而造成的其他不便，以及（6）患者的文化程度较低，对疾病及其治疗方法的了解不足。默认是多因素的，但可以包含在内。良好的医生/患​​者融洽关系，强调有效的沟通对提高依从性很重要。机构管理程序应更加人性化。医疗机构应考虑制定“不出现”违规者合规计划，以及那些违约会对临床结果产生不利影响的专业的病例管理员。

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