美国癌症中心的息护理的可用性和整合
David Hui1, Ahmed Elsayem, Maxine De la Cruz
1Department of Palliative Care and Rehabilitation Medicine, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA.
大多数癌症中心都提供息护理服务,但整合情况各不相同. 美国国家癌症研究所的中心比非NCI中心有更完善的息护理计划.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国癌症中心当前的息护理格局在很大程度上仍然没有特征.
- 了解息治疗的可用性对于改善癌症患者的支持至关重要.
研究的目的:
- 评估美国癌症中心的息护理服务的可用性和整合性.
- 为了比较国家癌症研究所 (NCI) 指定和非NCI癌症中心之间的息护理服务.
主要方法:
- 在2009年6月至10月期间,针对NCI和非NCI癌症中心的高管和息护理领导者进行了一项调查.
- 调查工具是基于文献评论,国家质量论坛指导方针和专家医生的投入而开发的.
- 息护理的可用性是由至少一名息护理医生的存在来定义的.
主要成果:
- 与非NCI中心相比,国家癌症研究所癌症中心的息护理计划,医生,住院咨询团队和门诊诊所的比例明显更高.
- 在所有受调查的中心中,专门的息护理床位和机构经营的住院并不常见.
- 虽然大多数中心报告了息护理计划,但服务范围和整合水平差异很大.
结论:
- 大多数癌症中心已经建立了息护理计划,但服务范围和整合存在重大差异.
- 指定为NCI的中心通常比非NCI的中心提供更全面的息护理服务.
- 需要进一步努力,以加强所有癌症中心的息护理的整合和标准化.
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