Klinische Sozialmedizin – Warum? Von der epidemiologischen Assoziation zur personalisierten Sozialmedizin am Beispiel der Versorgung bei Mammakarzinom

Abstract

Advances in biomedicine, especially molecular biology and genetics, gave rise to the concept of personalized medicine targeting the patient's individual characteristics and needs to ensure the best possible therapy and healthcare. This concept, however, can be successfully implemented only if due consideration is given to (psycho-)social factors, as is shown for instance by considerably reduced post-therapy survival rates among cancer patients in regions with lower socioeconomic status, How breast cancer patients, for instance, find their way back to daily life and work after initial treatment at a breast center is substantially determined by multiple factors going beyond pure medical care. These factors critically affect health status and therapy outcomes, but are missing in current research agenda. A profound expertise in social medicine is required to respond in ways tailored to the individual's healthcare needs that go beyond just medical therapy. This expertise comprises, in particular, knowledge of inequality of access to healthcare due to varying health competence that in turn, results in inequality of health outcome and care. Competence in social medicine both in the clinic and outpatient care can help to individually target negative factors that originate from the social environment as well as from deficits in communication and coordination in the healthcare system and have an effect on the health status of patients..This, however, requires institutionalization of (clinical) social medicine and in particular, better opportunities for advanced training in social medicine in clinical departments and outpatient units.

Willingness of Patients with Breast Cancer in the Adjuvant and Metastatic Setting to Use Electronic Surveys (ePRO) Depends on Sociodemographic Factors, Health-related Quality of Life, Disease Status and Computer Skills

“…Thus, "age", "level of education", "state of health" and "computer skills" have all been identified as variables which affect patientsʼ willingness to use this form of survey. The results of the study emphasize the need to take a detailed (social) history of patients as this will allow those patients where the context and state of health indicate that there may be a barrier to using electronic surveys to be identified in advance [51] and allow their need for 1347 " beginner n = 6 (15%) n = 4 (8%) " basic n = 14 (35%) n = 20 (40%) " advanced n = 10 (25%) n = 19 (38%) " professional n = 1 (3 %) n = 3 (6%) " not specified n = 9 (23%) n = 3 (6%) Willingness to use technology-based surveys 2 0.038 " yes n = 16 (40%) n = 35 (70%) " no n = 18 (45%) n = 14 (28%) " not specified n = 6 (15%) n = 1 (2%) Do you think that the introduction of electronic surveys will … 2…”

How Negative Is Negative Information

“…This is of particular importance in light of the current COVID-19 pandemic leading to delayed surgery, disruptions in patient care, and threat of COVID-19 diagnoses (Soriano et al, 2021). Future research will examine the effects of information delivery at other critical time points in the course of disease, for instance, shortly upon the initial diagnosis or returning to daily life after surgery and completion of treatment (Simoes et al, 2016).…”