一个癌症患者导航培训计划为资源有限的设置:从5年的培训结果
Kimberly Badal1,2, Nalisha Monroe3, Alisha Mohamed3
1Caribbean Cancer Research Institute, El Socorro, Trinidad and Tobago. kimberly.badal@ucsf.edu.
概括
在特立尼达和多巴哥的一项试点癌症患者导航计划显著减少了患者的痛苦. 这一举措表现出高患者满意度,在资源有限的环境中被证明是有效的.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 在资源有限的环境中,癌症患者导航 (CPN) 的有效性存在有限的研究.
- 导航癌症护理在这样的环境中为患者带来了独特的挑战.
- 加勒比癌症研究所 (CCRI) 在特立尼达和多巴哥启动了一项试点CPN计划.
研究的目的:
- 报告CPN试点项目的工作流程,开发资源和结果.
- 评估CPN对有限资源国家的患者痛苦和满意度的影响.
主要方法:
- 三名兼职导航员和一个项目经理接受了CCRI的培训并被聘用.
- 开发的资源包括服务提供商网络,程序政策,EMR系统和信息博客帖子.
- 用国家综合癌症网络应急温度计测量患者的痛苦;通过调查评估满意度.
主要成果:
- 158名患有乳腺,前列腺,胰腺和结肠癌的患者进行了导航.
- 发现的顶级障碍是身体的 (27%),信息的 (26%) 和情感/心理的 (25%).
- CPN干预导致患者痛苦的统计显著减少 (p<0.001) 和高患者满意度.
结论:
- 癌症患者导航在有限资源的环境中有效地减少了患者的痛苦.
- 试点项目显示,患者对导航服务的满意度很高.
- 在具有挑战性的医疗环境中,CPN可以成功实施并产生积极的结果.
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