应用实施科学来识别初级保健提供者使用幸存者护理计划的支持和障碍
Brittany Mutsaers1, Tori Langmuir2, Carrie MacDonald-Liska3
1School of Psychology, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Current oncology (Toronto, Ont.)
|June 26, 2024
概括
由于角色和工作量不清楚,初级保健提供者面临管理癌症幸存者护理的挑战. 改善瘤学和初级保健机构之间的沟通是改善幸存者护理计划 (SCP) 实施的关键.
科学领域:
- 在瘤学瘤学.
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级保健提供者 (PCP) 管理低风险癌症幸存者在瘤学出院后的随访.
- 幸存者护理计划 (SCP) 旨在帮助这一过渡,但实施不一致.
- 了解PCP使用SCPs的障碍和促进因素对于改善护理至关重要.
研究的目的:
- 检查影响PCP使用幸存者护理计划 (SCP) 的推动因素和障碍.
- 确定影响癌症幸存者向初级保健转型的因素.
- 为改善SCP实施和PCP支持提供信息.
主要方法:
- 与13名PCP进行半结构面试.
- 采访以理论领域框架 (TDF-2) 为指导.
- 面试数据的定性内容和主题分析.
主要成果:
- 关键的障碍包括缺乏对治疗副作用的知识,不清楚的专业角色,工作量和后勤问题.
- PCP重视SCP信息和后续指导.
- 在与瘤学协调和管理电子医疗记录方面存在挑战.
结论:
- PCP在利用SCP为癌症幸存者护理方面遇到重大障碍.
- 在瘤学和初级保健之间加强沟通和协作至关重要.
- 简化流程可以提高SCP的有效性和幸存者的过渡.
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