使用实施科学框架指导电子患者报告结果和症状监测在常规癌症护理中的使用
Julia Lai-Kwon1,2, Claudia Rutherford3, Michael Jefford1,2,4,5
1Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.
在癌症护理中实施电子患者报告结果 (ePRO) 面临挑战,但可以改善患者的治疗结果. 关键策略涉及利益相关者的共识,冠军,并评估变革的准备,利用后COVID-19远程护理接受.
科学领域:
- 实施科学 实施科学
- 在瘤学瘤学.
- 数字健康数字健康
背景情况:
- 电子患者报告结果 (ePRO) 对早期症状检测和改善癌症护理患者结果至关重要.
- 在常规瘤学环境中成功实施ePRO仍然是有限的.
研究的目的:
- 确定在常规癌症护理中实施ePRO症状监测的障碍和促进因素.
- 利用实施研究综合框架 (CFIR) 作为定性研究的指导.
主要方法:
- 针对成人癌症患者,护理人员和医疗保健专业人员进行了重点小组和个人采访.
- 采用半结构面试方法,由CFIR提供信息.
- 使用CFIR推断分析数据,并与CFIR-ERIC工具对策略的障碍进行匹配.
主要成果:
- 确定了四个CFIR领域的障碍,包括调整ePROs适用于各种癌症治疗的挑战.
- 促进者包括利用COVID-19后远程护理的接受.
- 建议的策略:利益相关者达成共识,为当地定制,确定冠军,并评估变革的准备.
结论:
- 美国联邦癌症研究所有效地确定了在瘤学中实施ePRO的已知和新障碍/促进者.
- 开发的实施策略将为针对免疫治疗副作用的ePRO系统的代码设计提供信息.
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