Download or read book What Are the Unmet Supportive Care Needs Among Hong Kong Chinese Women with Advanced Breast Cancer written by Ho-Yee Angel Au and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "What Are the Unmet Supportive Care Needs Among Hong Kong Chinese Women With Advanced Breast Cancer?: Do They Change Over Time?" by Ho-yee, Angel, Au, 區可兒, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background: Advanced breast cancer (ABC) is affecting substantial number of Chinese women in Hong Kong. Understanding their unmet supportive care needs (SCNs) is important for health care system to precisely allocate resources to areas demanded for help the most and for patients to achieve better quality of life. Objectives: (1) To validate Chinese version of Supportive Care Needs Survey Questionnaire (SCNS-SF34), (2) to address the prevalence of unmet SCNs at baseline (newly diagnosis of ABC) and explore relevant factors associating with baseline unmet SCNs, (3) to identify the trajectories of unmet SCNs from baseline, 6-week, 12-week, 18-week to one-year post-diagnosis of ABC among Hong Kong Chinese women and identify the predictors related to individual resources. Methods: The study consisted of two phases. In Phase I, breast cancer (BC) patients were recruited from six public hospitals and the SCNS-SF34 (which covers five domains of needs) was administered concurrently with measures of psychological distress CHQ-12 (Chinese Health Questionnaire-12), HADS (Hospital Anxiety and Depression Scale), symptom distress (MSAS-SF), and patient satisfaction (ChPSQ-9) to explore factor structure by using Exploratory Factor Analysis (EFA) and to examine internal consistency, and convergent, divergent and discriminant validities of the identified factor structure. In phase II, women newly diagnosed with ABC were recruited and followed up to assess their unmet SCN trajectories one year after diagnosis. Prevalence of initial baseline SCNs and associated demographic, medical and psychological factors were identified. Linear Mixed Modeling (LMM) was performed to assess trajectories for each SCNs domain. Hypothesized variables reflecting personal and social resources (optimism, trait hope, social support, psychological distress and patient satisfaction) were examined for association with the changes of unmet SCNs after adjusting for demographic and medical characteristics. Results: Instead of five-factor structure identified in the original SCNS-SF34, a four-factor structure with 33 items was identified, comprising: 1) Health system, information and patient support needs (HSIPS), 2) Psychological needs (PSYC), 3) Physical and daily living needs (PDL) and 4) Sexuality needs (SEX). The SCNS-SF33-C demonstrated moderate-to-good internal consistency (Cronbach's alphas=0.75-0.92) across all domains. Acceptable convergent and divergent validity were demonstrated. Discriminant validity was demonstrated in the SCNS-SF33-C's ability to differentiate between clinically distinct patient groups (ABC vs. localized BC and active treatment vs. no active treatment). Of the top 15 unmet SCNs, all belonged to the HSIPS domain. There were significant linear declines in unmet HSIPS and PSYC needs over the year after diagnosis, but not in PDL and SEX. After adjusting for demographic and medical factors, LMM identified symptom distress, patient satisfaction and patient satisfaction x time are predictors of HSIP. Total symptom distress, optimism, anxiety and anxiety x time predicted PSYC. Total symptom distress was predictor of PDL. Anxiety was predictor of SEX. Conclusions: The SCNS-SF33-C has a suitable factor structure and psychometric properties for the use in assessing unmet psychosocial SCN among Chinese women with BC. Generally, unmet H

Download or read book What are the Unmet Supportive Care Needs Among Hong Kong Chinese Women with Advanced Breast Cancer written by Ho-yee Au (Angel) and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book What are the Unmet Supportive Care Needs Among Hong Kong Chinese Women with Advanced Breast Cancer written by Ho-yee Au (Angel) and published by . This book was released on 2012 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed with Colorectal Cancer written by King-Fung Sam and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed With Colorectal Cancer: a Longitudinal Study" by King-fung, Sam, 岑檠峰, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introduction Patient-centered care is a recognized approach to enhance quality of oncological care. While most studies on supportive care needs among cancer patients focused on the time patients receiving or completing adjuvant treatment, little is known about the extent of unmet supportive care needs among cancer patients at the time awaiting surgery which is often a primary treatment for some cancer types such as breast, lung and colorectal cancer. There is growing attention in supportive care need of colorectal cancer patient in recent decades with the advocacy of holistic care. The influence of supportive care unmet need on physical symptom and psychological distress is being concerned as a risk factor of the distress. Meanwhile, colorectal cancer in Hong Kong are being concerned by its growing incidence. Studies often targeted on prevalence of the needs but seldom on the association between supportive care needs and physical symptom and psychological distress. Moreover, surgery is often the primary treatment for curative colorectal cancer. There is little known about the influence of supportive care need during the surgical phase. The aim of this study was to investigate the extent of pre-surgical unmet supportive care needs among Hong Kong Chinese patients with colorectal cancer. It is hypothesized in this study that pre-surgical unmet needs influence on physical symptom and psychological distress at 4-week post-surgery. Methods Quantitative study was applied to analyze data of longitudinal study in supportive care needs, physical symptom distress, and psychological distress of Chinese patient with colorectal cancer. The data was collected at Queen Mary Hospital by School of Public Health, The University of Hong Kong. 503 patients were approached and 303 patients were eligible in this study. A total of 246 colorectal cancer patients provided written consent and enrolled to the longitudinal study. Primary outcomes were supportive care needs at pre-surgery, physical symptom distress and psychological distress in terms of anxiety and depression at 4-week post-surgery. A multiple linear regression was used to analyze the influence of supportive care needs on physical symptom and psychological distress at 4-week post-surgery, adjusted with participant''s baseline distress level, demographic and clinical characteristics. Results The present study showed a moderate pre-surgical unmet supportive care needs in health service and information (HSI) need with SCNS-SF34-C mean score of 36.29 (95% CI: 33.31, 39.27), ranging from 0 to 100. The extent of supportive care needs was small on Patient care and support (PCS) (mean score 18.35, 95% CI: 16.22, 20.48), Psychological (PSY) (mean score 11.15, 95% CI: 9.34, 12.96) and Physical and daily living (PDL) (mean score 10.10, 95% CI: 8.56, 11.69) domains. Low sexuality needs (Sex) (mean score 2.10, 95% CI: 0.98, 3.22) was observed in the present study. Furthermore, there was low level of post-surgical distress observed in this study. Physical symptom distress was reported with MSAS-SF mean score 0.42 (possible range of score 0 to 4) (95% CI: 0.36, 0.48). HADS Anxiety was reported with mean score of 1.64 (possible range of score 0 to 14) (95% CI: 1.26, 2.02) and HADS depression with mean score of 2.93 (possible range of score 0 to 14) (95% CI: 2.42, 3.43). In this study, the associations

Download or read book Teamwork in Healthcare written by Michael S. Firstenberg and published by BoD – Books on Demand. This book was released on 2021-04-21 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the most important advances in the delivery of healthcare has been recognition of the need for developing highly functioning multi-disciplinary teams. Such teams, when structured in a cohesive fashion, can function more effectively and efficiently than the sum of their parts. The benefits of teamwork extend from the delivery of care to a single patient to the overall structure and function of entire care delivery systems. Recognizing the value of collaborative approaches for improving all aspects of healthcare delivery and having champions, leaders, structure, function, goals, and accountability are paramount to success, regardless of how defined. Another important pillar of teamwork is excellent communication with clearly defined information flows and cross-verification mechanisms. This book outlines how to work together for shared goals in a complex, diverse, and constantly evolving health care system.

Download or read book Expanding Horizons in Health Communication written by Bernadette Watson and published by Springer Nature. This book was released on 2020-06-01 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the ways in which Eastern and Western medical knowledge inform each other in the treatment of people in Asia across a wide range of health issues. To do so, it brings together health communication scholars from diverse disciplines both in Hong Kong and worldwide and combines their observations and expertise with those of clinicians working in healthcare in Asia to provide a topical portrait of the expanding horizons of healthcare in Asia. Social scientists and clinicians discuss their research and clinical practice respectively using a range of analytic approaches that include traditional qualitative and quantitative methodologies, as well as cutting-edge computer diagnostics that digitally visualize health interactions across time. The book presents an innovative and interdisciplinary investigation of Eastern and Western perspectives on healthcare in Asia. It covers topics concerned with a range of mental and physical problems that are currently confronting Asia. Importantly, the views and experiences of front line clinicians delivering patient care in Asia are also included. Accordingly, the book offers varied and innovative perspectives on health communication issues in China, Singapore, Bangladesh and Australia.

Download or read book Cancer Survival in Africa Asia the Caribbean and Central America written by R. Sankaranarayanan and published by IARC Scientific Publications. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Population-based cancer survival rates offer an important benchmark for measuring a health care system's overall effectiveness in the fight against cancer. While this type of information on high-resource countries is readily available, Cancer Survival in Africa, Asia, the Caribbean and Central America presents in-depth cancer survival data from 27 population-based cancer registries in 14 low- and middle-resource countries. The striking inequalities in cancer survival between countries and within countries described in this volume are largely related to the differences in general awareness, availability of early detection practices, trained human resources, diagnosis and treatment and the development and accessibility to cancer services, as well as, to a lesser extent, to issues of data quality and reliability. The differences in cancer survival reported in populations observed between and within countries studied in this volume provide valuable insights for future planning and investment by governments in primary prevention activities, early detection initiatives and tertiary care to achieve meaningful cancer control. The calendar period of registration of incident cases for the present study ranges between 1990 and 2001. Data on 564 606 cases of 1-56 cancer sites from different registries are reported. Data from eleven registries were utilized for eliciting survival trend and seventeen registries for reporting survival by clinical extent of disease. Besides chapters on every registry and general chapters on methodology, database and overview, the availability of online comparative statistics on cancer survival data by participating registries or cancer site in the form of tables or graphs is an added feature.

Download or read book Clinical Psycho Oncology written by Luigi Grassi and published by John Wiley & Sons. This book was released on 2012-05-18 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This international primer on psycho-oncology spans settings of care as well as regional boundaries. Designed to be easy to read, with informaton clearly displayed in concise tables and boxes accompanied by clinical vignettes, the book provides clear, practical guidance on all aspects of the psychological care of patients with cancer. Both trainees and practitioners will find it useful in the clinic as well as a resource for continued professional development.

Download or read book Palliative Care in Oncology written by Bernd Alt-Epping and published by Springer. This book was released on 2015-03-26 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: Palliative care provides comprehensive support for severely affected patients with any life-limiting or life-threatening diagnosis. To do this effectively, it requires a disease-specific approach as the patients’ needs and clinical context will vary depending on the underlying diagnosis. Experts in the field of palliative care and oncology describe in detail the needs of patients with advanced cancer in comparison to those with non-cancer disease and also identify the requirements of patients with different cancer entities. Basic principles of symptom control are explained, with careful attention to therapy for pain associated with either the cancer or its treatment and to symptom-guided antineoplastic therapy. Complex therapeutic strategies for palliative cancer patients are highlighted that involve both cancer- and symptom-directed options and address a range of therapeutic aims. Issues relating to drug use in palliative cancer care are fully explored, and a separate section is devoted to care in the final phase. A range of organizational and policy issues are also discussed, and the book concludes by considering likely future developments in palliative care for cancer patients. Palliative Care in Oncology will be of particular interest to palliative care physicians who are interested in broadening the scope of their disease-specific knowledge, as well as to oncologists who wish to learn more about modern palliative care concepts relevant to their day-to-day work with cancer patients.

Download or read book Neuropsychological and Psychosocial Foundations of Neuro Oncology written by Herbert B. Newton and published by Elsevier. This book was released on 2024-08-05 with total page 628 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neuropsychological & Psychosocial Foundations of Neuro-Oncology provides an in-depth review of common cognitive, psychological, and social manifestations that occur in patients with brain cancer and other neuro-oncological issues, Chapters discuss primary CNS tumors, brain metastases, leptomeningeal disease, paraneoplastic disorders, and many other topics. Effects of CNS and systemic cancer treatment (i.e., radiotherapy, chemotherapy, immunotherapy) are also examined, as wel as current practices for rehabilitation and targets for essential future interventions in vulnerable populations. This book is fully illustrated with pathology photomicrographs, CT and MRI images, tables, and molecular pathway diagrams. Bringing neuropsychological and behavioral health trial knowledge from the bench to the bedside, this volume is an essential reference for practicing neuro-oncologists, neuropsychologists, nurses, and others working in the field of neuro-oncology. - Discusses the neurocognitive implications of brain and systemic cancer treatments - Examines the foundations of neuropsychological testing and daily life implications, including caregiver support - Covers the psychosocial implications of brain cancer, psychotherapeutic interventions, and cognitive rehabilitation

Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Download or read book Handbook of Oncology Social Work written by Grace Christ and published by Oxford University Press. This book was released on 2015-01-28 with total page 873 pages. Available in PDF, EPUB and Kindle. Book excerpt: The development of this inaugural Handbook of Oncology Social Work: Psychosocial Care for People With Cancer provides a repository of the scope of oncology social workers' clinical practice, education, research, policy and program leadership in the psychosocial care of people with cancer and their families. It focuses on the unique synergy of social work perspectives, values, knowledge, and skills with the psychosocial needs of cancer patients, their families, and the health care systems in which they are treated. It addresses both the science and art of psychosocial care and identifies the increasing specialization of oncology social work related to its unique knowledge base, skills, role, and the progressive complexity of psychosocial challenges for patients with cancer. This Handbook equips the reader with all that we know today in oncology social work about patient and family centered care, distress screening, genetics, survivorship, care coordination, sociocultural and economic diversity, legal and ethical matters, clinical work with adults living with cancer, cancer across the lifespan, their caregivers and families, pediatrics, loss and grief, professional career development, leadership, and innovation. Our hope is that in reading this Handbook you will identify new areas where each of you can leave your mark as innovators and change agents in our evolving field of practice.

Download or read book Health at a Glance 2021 OECD Indicators written by OECD and published by OECD Publishing. This book was released on 2021-11-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health at a Glance provides a comprehensive set of indicators on population health and health system performance across OECD members and key emerging economies. This edition has a special focus on the health impact of COVID-19 in OECD countries, including deaths and illness caused by the virus, adverse effects on access and quality of care, and the growing burden of mental ill-health.

Download or read book Diversity and Change in Australian Families written by D. A. De Vaus and published by . This book was released on 2004 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Statistical information about Australian families and family change from reliable sources." - foreword.

Download or read book Health at a Glance 2019 OECD Indicators written by OECD and published by OECD Publishing. This book was released on 2019-11-07 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health at a Glance compares key indicators for population health and health system performance across OECD members, candidate and partner countries. It highlights how countries differ in terms of the health status and health-seeking behaviour of their citizens; access to and quality of health care; and the resources available for health. Analysis is based on the latest comparable data across 80 indicators, with data coming from official national statistics, unless otherwise stated.

Download or read book Health at a Glance 2015 OECD Indicators written by OECD and published by OECD Publishing. This book was released on 2015-11-04 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the most recent comparable data on the performance of health systems in OECD and certain partner countries. It includes a dashboard of health indicators, a special focus chapter on the pharmaceutical sector, and indicators on health workforce migration and health care quality.

Download or read book Comparative Quantification of Health Risks Sexual and reproductive health written by Majid Ezzati and published by World Health Organization. This book was released on 2004 with total page 2282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a comprehensive assessment of the scientific evidence on prevalence and the resulting health effects of a range of exposures that are know to be hazardous to human health, including childhood and maternal undernutrition, nutritional and physiological risk factors for adult health, addictive substances, sexual and reproductive health risks, and risks in the physical environments of households and communities, as well as among workers. This book is the culmination of over four years of scientific equiry and data collection, know as the comparative risk assessment (CRA) project.