改善癌症治疗中等和初级保健之间的沟通:书面沟通的新格式
Vera C Hanewinkel1, Mariken E Stegmann2, Suzanne Festen3
1Department of Policy, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Journal of the American Medical Directors Association
|September 2, 2024
概括
电子患者档案的新通信格式改善了癌症治疗讨论. 一般医生 (GPs) 获得了关于治疗选择和考虑的更好的信息,加强了他们对患者做出癌症治疗决策的支持.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 有效的癌症治疗决策需要为患者和医疗保健专业人员提供全面的信息.
- 一般医生 (GPs) 在支持癌症患者方面发挥着至关重要的作用,但需要从专家那里获得更好的信息.
- 目前专家和全科医生之间的沟通格式往往缺乏关键细节,以提供知情的患者指导.
研究的目的:
- 开发和实施一种新的书面沟通格式,以改善医疗专家和全科医生之间的信息交换.
- 为了促进全科医生在治疗决策过程中支持癌症患者.
- 评估新沟通格式的实施和影响.
主要方法:
- 电子患者档案 (EPF) 增加了一个新的通信格式,包含特定的标题 (治疗选择,考虑,意图).
- 这项创新是在荷兰一所大学医院 (2020-2021) 实施的.
- 使用RE-AIM模型进行的过程评估评估了书面沟通,并与专家和全科医生进行了采访.
主要成果:
- 与旧格式相比,新格式显著增加了治疗选择,考虑和意图的文档.
- 一般医生重视新格式为专家的思维过程提供了更高的清晰度.
- 专家们认为新格式节省了时间,尽管建议进行技术改进.
结论:
- 简单的书面沟通创新可以大大改善医疗专家和全科医生之间的信息流.
- 加强沟通支持一般医生在癌症治疗的共同决策中的关键作用.
- 这种实践创新表明了改善癌症护理协调和患者支持的潜力.
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