规划和评估综合临床瘤服务:一个探索性的混合方法研究
Ciaran M Fairman1, Shana E Harrington2, Alec R Schumpp2
1Department of Exercise Science, University of South Carolina, Columbia, SC, USA. cfairman@mailbox.sc.edu.
BMC health services research
|October 31, 2024
概括
将运动瘤学整合到标准护理中,改善了癌症患者的身体功能,减少了癌症患者的疲劳. 成功实施需要了解医疗保健背景,并让利益相关者参与可持续性.
科学领域:
- 运动瘤学 运动瘤学
- 医疗保健系统整合 医疗保健系统整合
- 实施科学 实施科学
背景情况:
- 设计和评估运动瘤学服务,以整合到临床护理中.
- 旨在为在标准瘤治疗中可持续使用的实施战略提供信息.
- 临床试验.gov 标识符:NCT06039488.8.gov 临床试验
研究的目的:
- 设计和评估运动瘤服务的整合到当地医疗保健系统.
- 为制定标准护理的可持续实施战略提供信息.
主要方法:
- 二阶段,混合方法的探索性研究.
- 定性方法来理解临床医生和管理人员对炼整合的观点.
- 使用覆盖范围,有效性,采用,实施,维护 (RE-AIM) 框架进行评估,包括患者报告的结果 (BNAT,FACT-F).
主要成果:
- 背景分析确定了关键要素:专注于初级后治疗和简化转诊.
- 第二阶段评价:低于最佳的达到 (2%),显著的有效性 (改善身体功能,减少疲劳;p<0.05).
- 观察到高接受率采用 (75%) 和强大的潜力维护.
结论:
- 传统的运动瘤学研究试验很难融入医疗保健系统.
- 成功的整合和维持需要了解交付背景和持续的利益相关者参与.
- 初始设置勘探对于全面实施战略至关重要.
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