Objective:Unmet supportive care needs(SCNs)impact pediatric cancer patients and their parents.This study aimed to explore the unmet SCNs from the perspective of Chinese children with cancer and their parents through l...Objective:Unmet supportive care needs(SCNs)impact pediatric cancer patients and their parents.This study aimed to explore the unmet SCNs from the perspective of Chinese children with cancer and their parents through lived experiences.Methods:The data of this study was collected using face-to-face semi-structured interviews.The participants were recruited from the oncology units of three children’s hospitals in China’s cities(Shanghai,Guangzhou,and Hefei)from October 2020 to December 2021.Data were analyzed using Colaizzi’s sevenstep phenomenological analysis method.Results:Eight pediatric cancer patients and twenty-four parents were enrolled in the study.Four main themes and eight subthemes(both children’s and parent’s perspectives)were generated:1)meeting the ongoing needs along the cancer trajectory(can you tell me what comes next;our needs are growing);2)communicating with a family focus(they only talk to my parents;let each family member have a voice);3)providing care beyond the treatment(I am bigger than my body[the children’s needs for emotional consolidation and information about their prognosis];there are things beyond treatment);4)getting support from the community(I am not a monster[the children were unhappy about being treated differently];we want to connect with the resources near us).Conclusion:This study revealed multiple unmet SCNs from the perspective of Chinese children with cancer and their parents.The findings call for comprehensive and in-depth supportive care beyond treatment,integration of the family member voice in pediatric cancer care,and a coordinated pediatric cancer support mechanism in the Chinese healthcare system.展开更多
This paper describes a bi-level programming model that seeks to simultaneously optimize location and design decisions of facilities in a distribution system in order to realize company's maximal total profit subje...This paper describes a bi-level programming model that seeks to simultaneously optimize location and design decisions of facilities in a distribution system in order to realize company's maximal total profit subject to the constraints on the facility capacity and the investment budget.In the upper-level problem,twoechelon integrated competitive/uncompetitive capacitated facility location model,which involves facility location and design,is presented.In the lower-level problem,customer is assumed to patronize store based on facility utility which is expressed by service time cost in the store and its travel cost to customer.Customer's facility choice behavior is presented by a stochastic user equilibrium assignment model with elastic demand.Since such a distribution system design problem belongs to a class of NP-hard problem,a genetic algorithm(GA)-based heuristic procedure is presented.Finally,a numerical example is used to illustrate the application of the proposed model and some parameter sensitivity analyses are presented.展开更多
基金This study was supported by the China National Natural Science Foundation of China Youth Science Foundation (71904030)China Medical Board Open Competition Grant (#21-427)+1 种基金Taikang Yicai Public Welfare Foundation (ZXJJ-YCGW-2021009)Fudan Nursing Founding (FNF 202124).
文摘Objective:Unmet supportive care needs(SCNs)impact pediatric cancer patients and their parents.This study aimed to explore the unmet SCNs from the perspective of Chinese children with cancer and their parents through lived experiences.Methods:The data of this study was collected using face-to-face semi-structured interviews.The participants were recruited from the oncology units of three children’s hospitals in China’s cities(Shanghai,Guangzhou,and Hefei)from October 2020 to December 2021.Data were analyzed using Colaizzi’s sevenstep phenomenological analysis method.Results:Eight pediatric cancer patients and twenty-four parents were enrolled in the study.Four main themes and eight subthemes(both children’s and parent’s perspectives)were generated:1)meeting the ongoing needs along the cancer trajectory(can you tell me what comes next;our needs are growing);2)communicating with a family focus(they only talk to my parents;let each family member have a voice);3)providing care beyond the treatment(I am bigger than my body[the children’s needs for emotional consolidation and information about their prognosis];there are things beyond treatment);4)getting support from the community(I am not a monster[the children were unhappy about being treated differently];we want to connect with the resources near us).Conclusion:This study revealed multiple unmet SCNs from the perspective of Chinese children with cancer and their parents.The findings call for comprehensive and in-depth supportive care beyond treatment,integration of the family member voice in pediatric cancer care,and a coordinated pediatric cancer support mechanism in the Chinese healthcare system.
基金the 2009 Science Foundation for Youths of the Department of Education of Jiangxi Province (No.GJJ09558)the 2009 Humanities and Social Science found of College of Jiangxi Province (No.GL0911)
文摘This paper describes a bi-level programming model that seeks to simultaneously optimize location and design decisions of facilities in a distribution system in order to realize company's maximal total profit subject to the constraints on the facility capacity and the investment budget.In the upper-level problem,twoechelon integrated competitive/uncompetitive capacitated facility location model,which involves facility location and design,is presented.In the lower-level problem,customer is assumed to patronize store based on facility utility which is expressed by service time cost in the store and its travel cost to customer.Customer's facility choice behavior is presented by a stochastic user equilibrium assignment model with elastic demand.Since such a distribution system design problem belongs to a class of NP-hard problem,a genetic algorithm(GA)-based heuristic procedure is presented.Finally,a numerical example is used to illustrate the application of the proposed model and some parameter sensitivity analyses are presented.
