超越障碍:一项混合方法研究,开发基于证据的策略,以改善在临床瘤学护理中PROM的实施
Eva Boomstra1, Iris Walraven2, Iris M C van der Ploeg3
1Division of Psychosocial Research and Epidemiology , Netherlands Cancer Institute, Amsterdam, The Netherlands.
这项研究确定了实用策略,以加强在癌症护理中使用患者报告结果措施 (PROMs). 关键的改进包括重新设计PROM仪表板,明确医疗保健专业人员的责任,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 患者报告结果测量 (PROM) 对于评估癌症患者与健康相关的生活质量至关重要.
- 在临床瘤实践中有效地实施PROM仍然是一个挑战.
研究的目的:
- 确定可行的,基于证据的战略,以改善PROM在常规瘤护理中的整合和利用.
- 解决阻碍患者和医疗保健专业人员有效使用PROMs的障碍.
主要方法:
- 一种混合方法的方法,结合了咨询观察和与患者和医疗保健专业人员 (HCP) 的半结构面试.
- 利用理论领域框架对已识别的障碍和促进者进行分类.
- 采用行为变化技术分类学v1来选择基于证据的改进策略,然后通过专家小组对优先级和可行性进行排名.
主要成果:
- 关键障碍包括电子健康记录的错位,医疗保健人员不愿讨论生活质量问题,以及对PROM讨论的不清楚责任.
- 确定了25个优先级的改进策略,例如重新设计PROM仪表板,并提供患者管理建议,并加强患者支持.
- 由于技术限制,改善患者门户网站的用户友好性等不太可行的策略被记录为未来的研究.
结论:
- 成功确定了基于证据的策略,以促进在临床瘤学环境中持续采用PROM.
- 这些发现为优化PROM实施提供了路线图,以改善患者护理和结果.
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