当天预约倡议对放射肿瘤学治疗中种族差异的影响。

IF 2 Q3 HEALTH POLICY & SERVICES Journal of Cancer Policy Pub Date : 2023-09-15 DOI:10.1016/j.jcpo.2023.100445
Allen M. Chen, Andrew D. Garcia, Marcela Alexandrescu, Erin Healy
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引用次数: 0

摘要

目的:我们介绍了我们在为放射肿瘤学门诊部制定当天访问计划方面的单一机构经验,重点关注其对改善种族差异的潜在影响。方法和材料:从2021年3月到2022年8月,开展了一项试点活动,为所有转诊到三级护理放射肿瘤学科的新患者提供当天会诊的能力。该分析的时间跨度分为36个月内的两个不同的连续时期——一个是18个月的倡议前时期(2019年9月至2021年2月),另一个是随后的时期(2021年3月至2022年8月)。使用描述性统计数据来研究这一举措对获取相关基准的影响。结果:共有2897名患者被转诊。在安排的2107名患者中,3016名(15%)选择了当天预约。与白人患者相比,黑人、拉丁裔和亚裔患者更有可能使用当天就诊计划(p=0.01)。黑人患者在转诊后5天内就诊的患者比例从8%增加到34%,拉丁裔患者为12-57%,亚裔患者为18-67%,相比之下,高加索人的这一比例为39-55%(p结论:当天访问倡议的实施缩小了访问相关基准方面的差距。
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Effect of a same day appointment initiative on racial disparities in access for radiation oncology

Purpose

We present our single-institution experience with the development of a same day access scheduling initiative for an outpatient radiation oncology unit, focusing on its potential influence on ameliorating racial disparities.

Methods and materials

From March 2021 to August 2022, a pilot initiative was conducted such that all new patients referred to a tertiary care-based radiation oncology department were offered the ability to be seen as a same day consultation. The timespan of this analysis was categorized into 2 distinct successive periods over 36 months—a 18-month pre-initiative period (September 2019 to February 2021) and another subsequent one (March 2021 to August 2022). Descriptive statistics were used to study the impact of this initiative on access-related benchmarks.

Results

A total of 2897 patients were referred. Among the 2107 patients scheduled, three hundred and sixteen (15 %) opted for same day appointments. Black, Latino, and Asian patients were significantly more likely to use the same day access initiative versus Caucasian patients (p = 0.01). The same day access initiative increased the proportion of patients seen within 5 days from referral from 8 % to 34 % for Blacks, 12–57 % for Latinos, and 18–67 % for Asians, compared to 39–55 % for Caucasians (p < 0.001). The no-show rate was reduced from 20 % to 7 % and 14–5 %, for Black and Latino patients, respectively (p < 0.001).

Conclusions

The implementation of a same day access initiative narrowed disparities with respect to access-related benchmarks.

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来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
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