混合电子邮件和门诊诊所,以优化急性淋巴细胞白血病的维持疗法
Tushar Mungle1, Ananya Mahadevan2, Parag Das1
1Clinical Research Unit.
Journal of pediatric hematology/oncology
|December 14, 2023
概括
针对急性淋巴细胞白血病维持治疗的混合电子诊所和门诊模式显著减少了50%的诊所访问和费用. 这种方法对于儿科患者及其家人来说是有效和令人满意的.
科学领域:
- 儿科瘤学 儿科瘤学
- 医疗保健管理的管理
背景情况:
- 基于门诊 (OP) 的2年维持疗法 (MT) 是急性淋巴细胞白血病 (ALL) 的标准.
- 从单纯的OP转向混合的e-clinic/OP模式发生在8年内.
研究的目的:
- 分析过渡到混合电子诊所/手术模式对儿科ALL维持治疗的影响.
- 评估人口统计,药物剂量,治疗反应,成本和家庭满意度的变化.
主要方法:
- 对478名接受ALL MT治疗的儿童 (1-18岁) 的电子和患者记录的回顾性分析 (2014年3月 - 2022年3月).
- 患者被分为4个时代,代表从所有OP过渡到混合护理.
- 一项调查评估了家庭对混合服务的满意度.
主要成果:
- 在混合模型 (第4时代) 中,OP访问减少了三分之二.
- 维持治疗剂量强度显著增加 (P <0.0001),没有增加与中性质衰竭相关的毒性 (P=0.8).
- 混合服务将MT费用降低了50%;85%的家庭报告高满意度.
结论:
- 对于儿科ALL维护疗法的混合电子诊所/手术模型是可行的和有效的.
- 这种模式减少了患者和家人的医疗负担和成本.
- 混合方法优化了资源利用,同时保持了治疗效率.
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