瘤护理合作伙伴关系塑造了工作时间后毒性管理支持的未来
Lorraine Martelli1, Sherry Hnatyshyn-Webster2, Bo Green3
1Provincial Head-Oncology Nursing, Ontario Health-Cancer Care Ontario.
概括
一个省份为癌症患者开设的非营业时间的电话支持线,通过提供专家毒性管理,显著减少了急诊室的访问. 这一举措节省了数百万医疗保健费用,并提高了患者对癌症治疗的满意度.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 癌症治疗通常会导致急诊室 (ED) 访问和住院,因为有毒性和症状.
- 安大略省卫生 - 癌症护理安大略省 (OH-CCO) 成立了一个委员会,以改善癌症患者的毒性管理.
- 建议进行远程毒性和症状管理咨询 (远程分离),以改善患者的护理.
研究的目的:
- 通过加强癌症患者的下班毒性管理,减少ED利用率.
- 改善协调和沟通以人为本的癌症护理.
- 评估省级远程分拣服务的有效性和患者满意度.
主要方法:
- 一个合作伙伴关系推出了一个专业瘤护士组成的下班时间电话支持线 (CareChart Digital Health).
- 使用了基于证据的远程选工具,包括泛加拿大瘤症状选和远程支持 (COSTaRS) 指南.
- 收集了ED转诊,节省成本和患者体验调查的数据.
主要成果:
- 自2018年以来,该服务在72家医院的时间后为患者提供支持.
- 护士管理了大多数使用自我管理策略的电话,其中24%的呼叫者转移到ED.
- 据估计,每年节省了5,211次ED访问,从而节省了38万美元的省级成本.
- 超过90%的受访患者报告了良好的体验和对服务的高度满意度.
结论:
- 省级的下班毒性管理线有效减少了ED的使用.
- 该服务显示了显著的成本节约和高患者满意度.
- 远程分离是提高癌症患者护理和管理治疗毒性的一种有价值的策略.
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