法国癌症患者的多学科管理:SINPATIC定性研究
Laura Moscova1,2, Matthieu Lustman1, Jacques Cittée1,3
1Département de Médecine Générale, Faculté de Médecine, Université Paris-Est Créteil (UPEC), Créteil, France.
The European journal of general practice
|July 29, 2024
概括
改善癌症护理需要更好的专业间合作. 医疗保健专业人员需要培训,以使他们的角色和沟通与以患者为中心的癌症途径保持一致.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 专业间教育 专业间教育
背景情况:
- 政策制定者旨在通过改善医疗保健专业人员 (包括全科医生) 的合作来加强癌症患者护理途径.
- 了解患者和提供者互动的动态对于优化癌症护理提供至关重要.
研究的目的:
- 在癌症护理途径中探索患者,全科医生,瘤学家和护士的互动.
- 调查利益相关者对专业角色,协作和护理途径的看法.
主要方法:
- 2018年1月至2021年12月在法国进行的定性研究.
- 运用现象学和一般的归纳分析.
- 使用半结构面试与癌症患者,全科医生,瘤学家和护士 (n=59).
主要成果:
- 在利益相关者对癌症治疗途径的看法中发现了显著的差异.
- 隐含的任务划分导致责任模糊 (例如,诊断公告,协调,后续行动).
- 医疗保健专业人员在孤岛中工作,缺乏对他人的需求的认识,沟通有限,往往由患者介绍.
结论:
- 加强癌症治疗途径需要培训医疗保健专业人员进行跨专业合作.
- 护理提供必须根据个体患者的需求和偏好量身定制.
- 解决专业孤岛和改善沟通是优化癌症管理的关键.
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