RESUMEN
BACKGROUND: Breast cancer treatment is an established cause of financial toxicity, and associated costs may contribute to higher mortality and morbidity rates. In Egypt, breast cancer incidence and mortality rates are among the highest in the Middle East. Late-stage diagnosis is common, and disease occurs at an earlier age than in Europe and North America. Out-of-pocket payments are the primary means of financing healthcare in Egypt, and socioeconomic factors have been shown to significantly impact access to cancer screening and treatment. METHODS: An observational cross-sectional study was conducted among breast cancer patients at Ain Shams University Hospitals in Cairo from 2013 to 2015. RESULTS: One hundred women with breast cancer participated. There was a high need for financial assistance (66.0%) and patients with financial needs had great difficulty affording medications (80.0%). A number of patients had lost their jobs following diagnosis, with 32.7% employed prior to diagnosis and 15.3% afterwards. Nearly one-half of participants were classified as food insecure, and nearly one-third reported difficulty affording transportation costs. CONCLUSIONS: This is the first study to describe socioeconomic needs and financial impact among a cohort of Egyptian women undergoing breast cancer treatment. The findings highlight the financial impact of breast cancer treatment on a cohort of Egyptian breast cancer patients and the need for a multidisciplinary approach to help them access and mitigate the costs of treatment. Recommendations include implementing patient financial navigation services and producing printed materials to inform patients of resources to help mitigate the treatment's financial impact.
Asunto(s)
Neoplasias de la Mama/terapia , Seguridad Alimentaria/métodos , Factores Socioeconómicos , Neoplasias de la Mama/epidemiología , Estudios Transversales , Egipto , Femenino , Humanos , Persona de Mediana EdadRESUMEN
This is a quasi-experimental pre-post assessment study utilizing an anonymous self-administered questionnaire to assess Egyptian medical students' awareness about responsible conduct of research (RCR) and research ethics. Students' were assessed before and after an RCR awareness campaign. Our results showed that most of the pre-campaign respondents were not familiar with the basic principles and terms of RCR. An increase in the awareness about RCR across all discussed topics was noted following the campaign. We concluded that an educational awareness campaign is effective in increasing medical students' awareness about RCR and should be incorporated into current medical school curricula in Egypt.
Asunto(s)
Investigación Biomédica/educación , Investigación Biomédica/ética , Estudiantes de Medicina/estadística & datos numéricos , Encuestas y Cuestionarios , Concienciación , Curriculum , Países en Desarrollo , Educación de Pregrado en Medicina/métodos , Evaluación Educacional , Egipto , Femenino , Humanos , Masculino , Adulto JovenRESUMEN
BACKGROUND: The migration of physicians from the developing to the developed world remains a controversial topic with many proposed negative effects. Although Egypt remains a major supplier of international medical graduates, no exploration of the root causes of the issue or the required policy changes was attempted before. METHODS: An online questionnaire was used to survey 940 Egyptian undergraduates enrolled at the Faculty of Medicine, Ain Shams University exploring their intentions of mobility following graduation and the factors impacting such intentions. RESULTS: Of the responding students, 85.7% (n=806) intended to leave the country for training following graduation, mostly seeking better research opportunities (mean 4.74) and working conditions (mean 4.64). Of those, 81.8% (659) reported their plan to eventually return after training, although at different intervals, principally driven by the feeling of belonging and desire to serve their country (mean 4.01). CONCLUSIONS: Due attention should be given to such an unnoticed country's issue with the adoption of evidence-based policy changes to minimize its negative effects. The affinity of the students to eventually return (driven by the desire to serve the country) could prove a valuable point to consider in policy-making.