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制定实施战略,促进综合性瘤门诊服务的提供和利用:香港的定性研究
Leonard Ho1, Ming Hong Kwong1, Angus S C Li1
1Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
香港的综合性瘤学 (IO) 服务面临诸多挑战,包括劳动力短缺和缺乏意识. 战略重点是培训工作人员,促进合作,并将安全数据整合到电子健康记录中.
科学领域:
- 在瘤学瘤学.
- 综合医学是一个整体医学.
- 医疗保健管理的管理
背景情况:
- 由于人口老龄化,香港癌症支持护理中对综合性瘤学 (IO) 的需求日益增加.
- 目前的证据支持使用IO干预措施来照顾癌症患者.
研究的目的:
- 确定影响香港门诊IO服务提供和使用的因素.
- 制定实施策略,以加强门诊IO服务.
主要方法:
- 根据理论领域框架 (TDF) 的指导,使用半结构面试进行两阶段研究.
- 使用行为变化轮框架进行定性数据分析和干预映射.
- 采访31个利益相关者,包括医疗保健专业人员,管理人员和护理人员.
主要成果:
- 确定了关键障碍:护理和行政人员不足,对IO服务的认识较低,对草药相互作用和毒性知识有限.
- 利益相关者包括中国传统医学从业者,医生,护士,管理人员,护理人员和药剂师.
结论:
- 建议多方面的战略:确保员工培训和留守的资金.
- 促进专业间的合作,传播有关IO有效性和安全性的证据.
- 将草药相互作用和毒性数据集成到由双重资格药剂师管理的电子健康记录中.
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