实施癌症症状管理干预措施,利用患者报告的结果:实施前对障碍和促进者的评估
Sarah A Minteer1, Andrea Cheville2, Nathan Tesch3
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA. minteer.sarah@mayo.edu.
概括
了解患者和护理团队的需求对于实施远程癌症症状监测至关重要. 早期参与和工作流集成提高了癌症幸存者的数字健康工具的成功.
科学领域:
- 实施科学 实施科学
- 数字健康数字健康
- 在瘤学瘤学.
背景情况:
- 由于持续的症状,癌症幸存者对生活质量构成挑战.
- 电子健康记录 (EHR) 集成的数字工具提供了可扩展的解决方案,用于在诊所访问之间远程监测和管理症状.
- 在现实世界瘤学环境中对这些数字健康干预措施的实施前障碍和促进因素的研究有限.
研究的目的:
- 探索远程癌症症状监测和管理干预措施的实施前感知.
- 确定影响成功采用电子患者报告结果测量 (ePROMs) 在癌症护理中的症状评估的关键因素.
主要方法:
- 定性研究涉及采访20个临床和行政利益相关者在4个地区.
- 一个阶段,集群随机实用试验的干预前实施阶段.
- 使用实施研究综合框架 (CFIR) 2.0进行分析,以确定与实施决定因素相关的主题.
主要成果:
- 出现了四个关键主题:干预能够满足患者需求的能力,对护理团队需求的设计考虑,与现有工作流程的兼容性,以及早期护理团队参与的重要性.
- 受益人特征,创新设计和适应性,兼容性和吸引提供商是被确定的关键因素.
结论:
- 解决患者需求,护理团队要求,工作流集成和早期参与对于成功实施至关重要.
- 考虑到这些方面,规划干预方案可以提高兼容性,增加在临床实践中成功采用的可能性.
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