通过分散癌症治疗,减轻旅行负担和环境影响。

IF 1.6 Q3 HEALTH POLICY & SERVICES
Giovanni Fattore, Michela Bobini, Francesca Meda, Benedetta Pongiglione, Luca Baldino, Stefano Gandolfi, Licia Confalonieri, Manuela Proietto, Stefano Vecchia, Luigi Cavanna
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引用次数: 0

摘要

肿瘤患者的预期寿命、生活质量和满意度在很大程度上取决于能否获得充分的专业服务,这些服务会全面考虑患者的病情。本研究旨在评估在意大利北部一个山村的门诊环境中引入肿瘤服务的情况。本研究利用可持续发展的三大支柱(社会、经济和环境)对该举措进行评估,这三大支柱是医疗政策制定者经常忽视的方面。利用 18625 项干预措施的微观数据,我们估算了患者节省的公里数(作为社会可持续性指标的 "旅行负担 "的减少)、NHS 的额外旅行成本(经济可持续性指标)以及二氧化碳排放量的隐含减少量(环境可持续性指标)。在 2016 年 7 月至 2021 年期间,分散式医疗中心提供了 2292 项干预措施,节省了 218566 公里,相应价值为 131140 欧元。国家医疗服务体系的额外成本为 26 152 欧元。减少的二氧化碳排放量为 32.37 吨(5989 欧元)。总体而言,为居住在这个偏远山谷的病人减少医疗旅行所带来的社会经济效益为 110,976 欧元。这项研究使人们对分散式肿瘤治疗的益处有了新的认识,并显示了其操作的可行性条件。鉴于类似项目为数不多,该研究为政策制定者,尤其是面临专业服务分散化挑战的管理者提供了证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reducing the burden of travel and environmental impact through decentralization of cancer care.

Life expectancy, quality of life and satisfaction of oncologic patients highly depend on access to adequate specialized services, that consider their conditions in a holistic way. The present study aims to evaluate the introduction of oncology services in an outpatient setting in a mountain village in Northern Italy. The initiative is evaluated using the three pillars of sustainability (social, economic and environmental) as dimensions that are often overlooked by healthcare policy makers. Using micro data on 18,625 interventions, we estimate the number of kilometers saved by patients (reduction of "travel burden" as indicator of social sustainability), the additional travel costs for the NHS (indicator of economic sustainability) and the implied reduction of CO2 emissions (indicator of environmental sustainability). Over the period July 2016-2021, the decentralized health center delivered 2,292 interventions saving 218,566 km for a corresponding value of €131,140. The additional costs for the NHS was €26,152. The reduction of CO2 emissions was 32.37 Tons (€5,989). Overall, the socio-economic benefit of reducing travel of care for the patients residing in this remote valley was €110,976. This study adds original understanding of the benefits of decentralizing oncologic care and shows its operational feasibility conditions. Given the modest number of similar projects, it provides evidence to policy makers and, especially, managers who are faced with the challenge to implement the decentralization of specialized services.

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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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