检查提供者对癌症幸存者综合老年医疗评估的看法和做法:一项具有实施科学重点的定性研究
Aaron T Seaman1, Julia H Rowland2, Samantha J Werts3,4
1Department of Internal Medicine - General Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA, United States.
Frontiers in aging
|December 19, 2023
概括
对老年癌症幸存者来说,综合老年评估 (CGAs) 是非常重要的. 对CGA实施的障碍包括时间限制和员工能力,而促进者涉及临床冠军和跨学科团队.
科学领域:
- 老年医学 老年医学
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症发病率随着年龄的增长而上升,需要为老年幸存者提供专门的护理.
- 综合老年评估 (CGAs) 对于评估老年癌症患者的功能能力至关重要.
- 对老年癌症幸存者的最佳护理需要评估健康状况并确定支持性资源.
研究的目的:
- 了解在老年癌症患者护理中实施综合老年学评估 (CGA) 的障碍和促进因素.
- 确定医疗保健提供者对CGA使用的培训和支持需求.
- 探索初级保健提供者和瘤学家如何在实践中利用CGAs.
主要方法:
- 使用与初级保健提供者和瘤学家进行半结构面试的定性描述方法.
- 进行了八次采访,录制,字面转录,并根据主题进行分析.
- 代码书的开发涉及四名团队成员独立编码成绩单.
主要成果:
- 由于时间限制和竞争性需求,提供商经常使用选工具或部分CGA.
- 促进CGA实施的方便者包括临床冠军,跨学科团队和机构支持.
- 障碍包括员工能力有限,提供者缺乏经验,以及机构优先事项不一致.
结论:
- 这些发现可以为在老年癌症患者护理中更广泛,更系统地实施CGA的策略提供信息.
- 系统的CGA使用对于识别有风险的患者和早期干预以改善结果至关重要.
- 提高CGA的摄入量对于最大限度地提高老年癌症幸存者的健康状况至关重要.
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