实施严重疾病对话在综合性癌症中心使用跨学科方法的影响
Karen Guo1, Garrett Wasp1,2,3,4, Maxwell Vergo4
1The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA.
The American journal of hospice & palliative care
|May 10, 2024
概括
在瘤学中实施严重疾病对话 (SIC) 改善了晚期癌症患者的沟通和共享决策. 质量改进方法显著提高了SIC文档率.
科学领域:
- 在瘤学瘤学.
- 提高质量 提高质量
- 息护理沟通 息护理沟通
背景情况:
- 在终身护理偏好方面的沟通缺口对患者构成风险.
- 在晚期癌症中严重疾病对话 (SIC) 的瘤实践指南未得到充分利用.
研究的目的:
- 通过使用质量改进 (QI) 方法,在瘤团队中增加严重疾病对话 (SIC) 的使用.
- 评估患者报告的共享决策 (SDM) 经验与实施SIC的临床医生.
主要方法:
- 采用质量改进 (QI) 方法来在四个瘤团队中实施SIC.
- 协作得分测量了患者报告的晚期癌症患者的SDM结果.
主要成果:
- 在符合条件的患者中,SIC文档从近0%增加到52%.
- 在SIC实施和改善患者报告的共享决策之间发现了统计学意义上的关联 (p = .031).
结论:
- 代改进周期可以量身定制,以解决障碍并增强瘤学中的SIC实践.
- 这种QI方法有效地增加了SIC的采用率,并改善了患者的SDM体验.
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