通过向卫生专业人员提交问卷来确定瘤临床途径
Mario Forrester1, Luiza Breitenfeld2, Miguel Castelo-Branco2
1Faculty of Health Sciences Universidade Da Beira Interior, Av. Infante D. Henrique, Covilhã, 6200-506, Portugal. marioforrester89@gmail.com.
BMC health services research
|September 19, 2023
概括
这项研究利用对医疗保健专业人员的调查绘制了区域瘤临床途径. 研究结果突出了患者分期和转诊模式的差异,揭示了癌症护理协调方面的效率低下.
科学领域:
- 医疗保健管理的管理
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 瘤学的临床途径标准化了护理,提高了效率.
- 确定机构瘤学临床途径对于降低死亡率和成本至关重要.
- 这项研究旨在通过关键利益相关者的投入来绘制区域瘤学临床途径.
研究的目的:
- 通过基于假设的方法确定区域瘤临床途径.
- 确定瘤学临床途径中的关键决策者.
- 分析患者流动,诊断过程和区域医疗保健系统内的随访.
主要方法:
- 利用了两个结构化,区域范围的问卷调查对医疗保健专业人员的数据.
- 问卷集中在瘤阶段,时间间隔,转诊途径,诊断网络和患者随访.
- 包括描述性分析和克伦巴赫的阿尔法可靠性分析.
主要成果:
- 在初级保健和医院设置中观察到瘤分期的差异,医院接收的病例更为复杂.
- 从怀疑瘤到诊断的间隔大约为4周,对随后的治疗时间表有不同的看法.
- 揭示了不理想的转诊途径,许多患者被转移到国家医院而不是区域医院,随着护理的进展,参与的专业人员减少.
结论:
- 该研究成功地绘制了多个机构的现实世界瘤学临床途径.
- 问卷数据提供了对患者入口点和区域系统内的护理导航的见解.
- 这些发现强调了需要改善瘤学临床途径的协调和标准化.
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