内容紹介
Work-Related Issues of Adolescent and Young Adult(AYA)Cancer Survivors―Tips for Supporting Them in and out of Hospitals
Summary
Recent advances in cancer treatment have steadily improved the overall survival rate, and enhancing the quality of life of cancer survivors is the challenge faced at present. One of the major topics in studies on cancer survivors is work-related issues, and the government has been focusing on improving the circumstances of the working population and children. In 2015, the Cancer Control Accelerating Plan set adolescent and young adult(AYA)cancer survivors as the top priority for this plan. Work-related issues of AYA cancer survivors are highly individualized and complicated, mainly because of three characteristics: 1) Cancer treatments and/or outpatient follow-ups are accompanied by major life-stage transitions, 2) Treatments are prone to be nonstandardized in“rare cancers”or“advanced-stage cancers,”and 3) Achieving economic independence is difficult because of high medical costs. This article provides some tips for medical professionals working in hospitals on how to support AYA cancer survivors along with their main responsibilities. It also provides an overview of online and offline resources available for supporting this population.
要旨
がんの治療成績向上に伴い,治療後のQOL向上がいっそう問われる近年,AYA世代のがん経験者の就労問題に社会の注目が集まっている。わが国のがん対策・施策検討においても重点項目として論じられている本問題は,社会のダイバーシティ推進の流れにも沿うものである。AYA世代のがん経験者における就労問題の特性は,個別性の高さ(がんの診断や治療を受ける時期がライフステージの大きな転換期と一致することに起因する)の他,希少がんである小児がん・若年性がんと就労を両立することの困難さや経済的独立の困難さにある。本稿では,がん治療に従事する病院の医療従事者が実施できる就労支援の方法を具体的に提案するとともに,支援に活用できるリソースを概観する。
目次
Summary
Recent advances in cancer treatment have steadily improved the overall survival rate, and enhancing the quality of life of cancer survivors is the challenge faced at present. One of the major topics in studies on cancer survivors is work-related issues, and the government has been focusing on improving the circumstances of the working population and children. In 2015, the Cancer Control Accelerating Plan set adolescent and young adult(AYA)cancer survivors as the top priority for this plan. Work-related issues of AYA cancer survivors are highly individualized and complicated, mainly because of three characteristics: 1) Cancer treatments and/or outpatient follow-ups are accompanied by major life-stage transitions, 2) Treatments are prone to be nonstandardized in“rare cancers”or“advanced-stage cancers,”and 3) Achieving economic independence is difficult because of high medical costs. This article provides some tips for medical professionals working in hospitals on how to support AYA cancer survivors along with their main responsibilities. It also provides an overview of online and offline resources available for supporting this population.
要旨
がんの治療成績向上に伴い,治療後のQOL向上がいっそう問われる近年,AYA世代のがん経験者の就労問題に社会の注目が集まっている。わが国のがん対策・施策検討においても重点項目として論じられている本問題は,社会のダイバーシティ推進の流れにも沿うものである。AYA世代のがん経験者における就労問題の特性は,個別性の高さ(がんの診断や治療を受ける時期がライフステージの大きな転換期と一致することに起因する)の他,希少がんである小児がん・若年性がんと就労を両立することの困難さや経済的独立の困難さにある。本稿では,がん治療に従事する病院の医療従事者が実施できる就労支援の方法を具体的に提案するとともに,支援に活用できるリソースを概観する。