为管理患有遗传性癌症高风险的患者进行实施映射
Caitlin G Allen1, Colleen Donahue2, Emma Coen1
1Department of Public Health Sciences, College of Medicine, Medical University of South Carolina, Charleston, South Carolina.
American journal of preventive medicine
|October 8, 2023
概括
开发了一项新的临床管理策略,以改善对具有遗传癌症风险的个体的护理. 这种方法解决了管理致病变体的挑战,并提高了高风险患者遵守指导方针.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 医疗保健管理的管理
背景情况:
- 缺乏标准化的工作流程来管理具有病原性变异的患者,导致遗传性癌症护理的挑战.
- 由于复杂的后续护理,患有遗传性癌症的高风险人群中,缺乏遵守指南的情况很常见.
- 制定有效的临床管理策略对于改善遗传性癌症患者的治疗结果至关重要.
研究的目的:
- 创建和评估对被确定患有遗传性癌症高风险的个体的临床管理策略.
- 通过实施映射方法建立一个遗传性癌症诊所.
- 解决后勤挑战,改善在遗传性癌症患者管理中遵守指导方针.
主要方法:
- 采用实施映射方法,涉及5个步骤的过程:需求评估,目标识别,战略选择,协议开发和评估规划.
- 与患者,专家和实施团队进行了定性采访,以确定障碍物和促进者.
- 实施研究的综合框架被用于编码采访数据.
主要成果:
- 2022年在南卡罗来纳医学大学建立了一个遗传性癌症诊所.
- 制定了实施协议,以解决已识别的障碍和促进者.
- 创建了一个长期评估计划,以评估实施,服务和临床/患者结果.
结论:
- 开发的方法有助于实时改善高风险遗传性癌症患者的护理.
- 研究结果支持通过针对护理专家和患者的结构化策略来改善患者管理和结果.
- 该方法允许对遗传性癌症管理的实施策略和指南进行长期评估.
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