"收拾碎片":初级保健医生对癌症护理审查的经验. 一个描述性的定性研究
Dipesh P Gopal1, Stephanie Jc Taylor2, Ping Guo3
1Centre for Primary Care, Wolfson Institute of Population Health, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK d.gopal@qmul.ac.uk.
初级保健工作人员适应了新的癌症护理审查 (CCRs),尽管面临诸如COVID-19大流行等挑战. 建议对长期癌症护理和多样化的患者看法进行加强培训,以改善支持.
科学领域:
- 在瘤学瘤学.
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在英国,越来越多的癌症幸存者需要持续护理.
- 初级保健利用质量和结果框架 (QoF) 激励的癌症护理审查 (CCRs) 为生存.
- 劳动力短缺,政策变化和COVID-19大流行影响了CCR的交付.
研究的目的:
- 探索初级保健工作人员对癌症护理审查 (CCR) 的经验和看法.
- 了解如何进行CCR及其感知价值.
- 在COVID-19大流行期间调查CCR交付的适应性.
主要方法:
- 在英语通用实践中进行了一项描述性的定性研究.
- 与15名初级保健工作人员进行了半结构化的在线采访.
- 在数据解释中使用了反射性主题分析.
主要成果:
- 出现了四个主题:癌症的多样化感知,CCR的传递和影响,与大流行有关的变化以及补充护理建议.
- 患者对癌症的看法,包括来自少数民族的患者,影响了CCR传递.
- 疫情期间发生了CCR的远程交付;建议社区团队提供支持.
结论:
- 在疫情期间,初级保健工作人员成功实施了新的3个月和12个月的CCR格式.
- 建议包括加强员工对癌症作为长期疾病的培训.
- 培训还应该解决患者对癌症的不同看法,以提供公平的护理.
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