PDF(Pubmed)
Abstract：
UNASSIGNED: The incidence of cancer is increasing, and cancer survivors are also growing exponentially. Cancer is defined as a new chronic disease. Nevertheless, the management of cancer in the form of chronic diseases in China is still in its infancy, without a standardized care model.
UNASSIGNED: This study aimed to explore the current status of management of cancer care from the patient\'s perspective.
UNASSIGNED: This cross-sectional study was a questionnaire survey of patients diagnosed with cancer, including information of the current situation of daily medical consultation, status of comorbidity, and expectations of seeking cancer care in future. Chi-square test and logistic regression analysis were used to explore the factors influencing patients\' choice of cancer management mode.
UNASSIGNED: A total of 200 cancer patients were included in the study. The majority (n = 150) of cancer patients chose an oncologist in a tertiary hospital for cancer care. Difficulty in registration (45%), time-consuming (34.5%), repeated examinations (34.5%) and different treatment opinions (12.0%) were the main difficulties they encountered currently during tertiary hospital visits. In community hospital, lack of trust in general practitioners (n = 33) and the necessary drugs or testing items in community hospitals (n = 47) were the main difficulties during their visits. Logistic regression analysis showed that male (OR = 2.737, 95% CI, 1.332-5.627, p = 0.006) and elderly patients (OR = 3.186, 95% CI, 1.172-8.661, p = 0.023) were more likely to choose general practitioners (GPs) in community hospitals. Twenty-nine (14.5%) patients hope to have an integrated multidisciplinary management in tertiary and community hospitals with the active participation of GPs for cancer care.
UNASSIGNED: Improving drug availability, equipment and quality of cancer care services can help to increase cancer patients\' recognition of community hospital. In addition, the multidisciplinary management integrated tertiary hospitals and communities with the participation of GPs is a worth exploring mode that improves the management of cancer care.
UNASSIGNED: This study aimed to explore the current status of management of cancer care from the patient\'s perspective.
UNASSIGNED: This cross-sectional study was a questionnaire survey of patients diagnosed with cancer, including information of the current situation of daily medical consultation, status of comorbidity, and expectations of seeking cancer care in future. Chi-square test and logistic regression analysis were used to explore the factors influencing patients\' choice of cancer management mode.
UNASSIGNED: A total of 200 cancer patients were included in the study. The majority (n = 150) of cancer patients chose an oncologist in a tertiary hospital for cancer care. Difficulty in registration (45%), time-consuming (34.5%), repeated examinations (34.5%) and different treatment opinions (12.0%) were the main difficulties they encountered currently during tertiary hospital visits. In community hospital, lack of trust in general practitioners (n = 33) and the necessary drugs or testing items in community hospitals (n = 47) were the main difficulties during their visits. Logistic regression analysis showed that male (OR = 2.737, 95% CI, 1.332-5.627, p = 0.006) and elderly patients (OR = 3.186, 95% CI, 1.172-8.661, p = 0.023) were more likely to choose general practitioners (GPs) in community hospitals. Twenty-nine (14.5%) patients hope to have an integrated multidisciplinary management in tertiary and community hospitals with the active participation of GPs for cancer care.
UNASSIGNED: Improving drug availability, equipment and quality of cancer care services can help to increase cancer patients\' recognition of community hospital. In addition, the multidisciplinary management integrated tertiary hospitals and communities with the participation of GPs is a worth exploring mode that improves the management of cancer care.
摘要：
■癌症的发病率正在增加,癌症幸存者也呈指数级增长。癌症被定义为一种新的慢性疾病。然而，在中国，以慢性病为形式的癌症的管理仍处于起步阶段，没有标准化的护理模式。
■本研究旨在从患者的角度探讨癌症护理管理的现状。
■这项横断面研究是对被诊断患有癌症的患者的问卷调查，包括日常医疗咨询的现状信息，合并症的状况，以及未来寻求癌症治疗的期望。采用卡方检验和logistic回归分析探讨影响患者选择肿瘤管理模式的因素。
■总共200名癌症患者被纳入研究。大多数（n=150）癌症患者选择了三级医院的肿瘤学家进行癌症护理。注册困难（45％），耗时（34.5%），重复检查(34.5%)和不同的治疗意见(12.0%)是他们目前在三级医院就诊中遇到的主要困难。在社区医院，对全科医生缺乏信任(n=33)和社区医院必要的药物或检测项目(n=47)是他们就诊期间的主要困难。Logistic回归分析显示,男性(OR=2.737,95%CI,1.332~5.627,p=0.006)和老年患者(OR=3.186,95%CI,1.172~8.661,p=0.023)更倾向于选择社区医院全科医生。29名（14.5％）患者希望在全科医生的积极参与下，在三级和社区医院进行综合多学科管理。
■提高药物利用率，设备和优质的癌症护理服务有助于提高癌症患者对社区医院的认可度。此外,由全科医生参与的三级医院和社区的多学科综合管理是一种值得探索的改善癌症护理管理的模式。
■本研究旨在从患者的角度探讨癌症护理管理的现状。
■这项横断面研究是对被诊断患有癌症的患者的问卷调查，包括日常医疗咨询的现状信息，合并症的状况，以及未来寻求癌症治疗的期望。采用卡方检验和logistic回归分析探讨影响患者选择肿瘤管理模式的因素。
■总共200名癌症患者被纳入研究。大多数（n=150）癌症患者选择了三级医院的肿瘤学家进行癌症护理。注册困难（45％），耗时（34.5%），重复检查(34.5%)和不同的治疗意见(12.0%)是他们目前在三级医院就诊中遇到的主要困难。在社区医院，对全科医生缺乏信任(n=33)和社区医院必要的药物或检测项目(n=47)是他们就诊期间的主要困难。Logistic回归分析显示,男性(OR=2.737,95%CI,1.332~5.627,p=0.006)和老年患者(OR=3.186,95%CI,1.172~8.661,p=0.023)更倾向于选择社区医院全科医生。29名（14.5％）患者希望在全科医生的积极参与下，在三级和社区医院进行综合多学科管理。
■提高药物利用率，设备和优质的癌症护理服务有助于提高癌症患者对社区医院的认可度。此外,由全科医生参与的三级医院和社区的多学科综合管理是一种值得探索的改善癌症护理管理的模式。
