在初级保健中实施结肠或前列腺癌幸存者护理的全科医生经验:在两个随机对照试验中嵌入的跨部分调查
Julien A M Vos1,2, Barbara M Wollersheim3, Henk C P M van Weert1,2
1Amsterdam UMC, University of Amsterdam, Department of General Practice, Amsterdam, the Netherlands.
JCO oncology practice
|December 2, 2024
概括
一般医生 (GPs) 认为癌症幸存者护理具有价值,但随着癌症类型的不同,准备程度会有所不同. 一般医生比结肠癌护理更容易实施前列腺癌幸存者护理.
科学领域:
- 在瘤学瘤学.
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着生存率的提高,癌症幸存者护理越来越重要.
- 一般医生 (GPs) 在为癌症幸存者提供持续护理方面发挥着至关重要的作用.
- 提供幸存者护理的最佳模式,无论是全科医生领导还是专家领导,都需要进一步调查.
研究的目的:
- 评估全科医生 (GPs) 提供癌症幸存者护理的经验和准备.
- 探索影响GP领导的幸存者护理模型实施的因素.
- 为了比较前列腺癌和结肠癌幸存者护理之间的GP经验.
主要方法:
- 使用适应的规范化措施开发 (NoMAD) 工具进行了横截面调查.
- 这项研究涉及214名在荷兰参加随机对照试验的全科医生.
- 该调查评估了全科医生的经验,意愿,感知的适当性,以及将幸存者护理纳入初级保健.
主要成果:
- 一般医生报告说,与幸存者护理的整体经验中等 (前列腺:7.0/10,结肠:6.4/10).
- 与前列腺癌相比,结肠癌幸存者护理的意愿和感知适当性较低.
- 一般医生同意患者的价值,但对自身工作的价值有不同的看法;经济补偿被认为是必要的.
结论:
- 一般医生 (GPs) 承认癌症幸存者对患者的护理的重要性.
- 实施可行性在癌症类型之间存在显著差异,前列腺癌护理在初级保健中似乎更容易嵌入.
- 需要进一步的研究和支持,以优化GP参与全面的癌症幸存者护理.
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