在瘤学中的共享决策及其在菲律宾宫癌管理中的实施:叙述性审查
Warren Bacorro1,2,3, Michala Short4, Kathleen Baldivia3
1Graduate School, University of Santo Tomas, Manila, Philippines.
JCO global oncology
|May 16, 2024
概括
在菲律宾,共享决策 (SDM) 研究是有限的. 患者决策辅助工具 (PtDAs) 对宫癌护理具有前景,但实施面临成本和工作流集成等挑战.
科学领域:
- 在瘤学瘤学.
- 卫生政策 卫生政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 在道德上是必不可少的,但在全球范围内实施不佳.
- 关于菲律宾患者决策偏好和SDM的研究有限.
- 菲律宾的国家瘤指南缺乏详细的SDM实施指南.
研究的目的:
- 审查关于SDM和患者决策辅助器 (PtDAs) 在瘤学的文献.
- 在菲律宾的宫癌管理中将研究结果置于背景中.
- 在菲律宾背景下,确定SDM实施的障碍和促进者.
主要方法:
- 系统搜索菲律宾关于SDM在瘤学方面的文献.
- 对SDM哲学,PtDA实用性和实施因素的国际文献的反复审查.
- 对菲律宾子宫癌管理和医疗服务的背景.
主要成果:
- 菲律宾关于SDM的文献很少 (5 篇出版物,2 篇注册研究).
- 国际文献涵盖了患者的偏好,PtDA的发展,有效性和实施障碍/促进者.
- 讨论了对菲律宾子宫癌护理,卫生服务提供和SDM研究的影响.
结论:
- 当地的SDM研究是有限的.
- 在马尼拉的宫癌SDM中使用PtDA的初步试验显示了良好的可接受性.
- 实施挑战包括财务限制,紧急决策,教育成就和工作流集成.
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