确定支持初级保健参与乳腺癌幸存者护理的优先领域:Delphi研究
Lisa Mikesell1,2, Denalee M O'Malley3,4, Rachel T Kurtzman3,5
1School of Communication and Information, Rutgers University, New Brunswick, New Jersey, USA.
Cancer medicine
|April 30, 2024
概括
改善初级保健参与乳腺癌幸存率需要明确的角色和瘤学和初级保健之间的更好的沟通. 主要优先事项包括患者教育,电子健康记录警报,资源识别和药物参考指南.
科学领域:
- 在瘤学瘤学.
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 目前的癌症幸存者护理模式不充分地涉及初级保健提供者.
- 加强初级保健参与对于全面的乳腺癌幸存者管理至关重要.
研究的目的:
- 确定利益相关者优先考虑的战略,以改善初级保健参与乳腺癌幸存者护理.
- 定义可以采取行动的步骤,将初级保健纳入幸存者的生活.
主要方法:
- 一个四轮的在线Delphi小组,涉及美国癌症生存专家.
- 系统地确定和评估初级保健参与的优先项目,使用重要性和可行性等级.
- 建立共识的过程,以完善优先领域.
主要成果:
- 确定了31个优先项目,以加强幸存者护理服务.
- 最重要的优先事项集中在改善初级保健和瘤学之间的沟通和联系.
- 在四个可行的和重要的项目上达成共识:患者教育,电子病历警报,临床医生资源识别和药物参考指南.
结论:
- 清晰的角色定义和改进的沟通对于初级保健参与幸存者的参与至关重要.
- 可行性挑战需要注意,可能通过跨学科能力建设.
- 需要采取可行的策略,将重点优先事项纳入初级保健机构.
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