外来小児緩和医療:クリニックの構造と運営に関する全国的調査
Ashley Kiefer Autrey1, Caroline Stafford2, Casie James3
1Manning Family Children's, New Orleans, LA, USA; Louisiana State University Health Sciences Center, New Orleans, LA, USA; Tulane University School of Medicine, New Orleans, LA, USA.
Journal of pain and symptom management
|August 22, 2025
まとめ
外来小児緩和ケア (PPC) の診療は,さまざまなモデルとスケジュールで大きく異なります. これらの構造がプログラムの成功と持続可能性にどのように影響するかを理解するには,さらなる研究が必要です.
科学分野:
- 小児の緩和医療
- 医療事業
- 臨床プログラム開発
背景:
- 小児緩和ケア (PPC) は入院から外来治療へと拡大しています
- 外来 PPC (OPPC) の臨床運用に関するガイドラインは限られている.
研究 の 目的:
- 外科医の診療所構造と運営を調査する.
- OPPCプログラムの将来的な成長と発展を促す.
主な方法:
- 2019年のオンライン調査は,48の独立した児童病院のPPCの連絡先に配布されました.
- 36の病院が回答し,28のOPPCクリニックが報告した.
主要な成果:
- ほとんどのOPPCクリニックは,PPCとPPC以外のスタッフによって管理されるサブスペシャリティクリニックに統合されています.
- 複数のクリニックモデル (浮動型,独立型,埋め込み型) が一般的に使用され,しばしば組み合わせられています.
- 診療スケジュールは半日間のセッションと初期とフォローアップの診療期間が混在しています.
結論:
- 病院ベースのOPPCクリニックの運営は,国内での大きな違いを示しています.
- OPPCプログラムの成功と持続可能性のための最適なクリニックの構造とワークフローはまだ明らかではありません.
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