Looking back: a review of policy implications for exercise oncology.

Mary A Kennedy, Melanie Potiaumpai, Melissa Maitin-Shepard, Christopher M Wilson, Anna Campbell, Anna L Schwartz, Jessica Gorzelitz, Maxime Caru, Chloe Grimmett, Kathryn H Schmitz
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Abstract

The evidence to support the benefits of exercise for people living with and beyond cancer is robust. Still, exercise oncology interventions in the United States are only eligible for coverage by third-party payers within the restrictions of cancer rehabilitation settings. Without expanded coverage, access will remain highly inequitable, tending toward the most well-resourced. This article describes the pathway to third-party coverage for 3 programs that address a chronic disease and utilize exercise professionals: the Diabetes Prevention Program, Supervised Exercise Training for Peripheral Artery Disease, and Cancer Rehabilitation. Lessons learned will be applied toward expanding third-party coverage for exercise oncology programming.
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回顾:运动肿瘤学政策影响的综述。
支持锻炼对癌症患者有益的证据是强有力的。尽管如此,在美国,运动肿瘤干预只有在癌症康复设置的限制下才有资格由第三方支付。如果不扩大覆盖范围,获取将仍然高度不公平,倾向于资源最充足的人群。本文介绍了针对慢性疾病和利用运动专业人员的3个项目的第三方覆盖途径:糖尿病预防项目、外周动脉疾病监督运动训练和癌症康复。吸取的经验教训将用于扩大运动肿瘤学规划的第三方覆盖范围。
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