优化口服抗癌剂的坚持:实施映射研究的结果
Benyam Muluneh1,2, Maurlia Upchurch1, Emily Mackler3
1Division of Pharmacotherapy and Experimental Therapeutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Current oncology (Toronto, Ont.)
|February 25, 2025
概括
这项研究开发了改善口服抗癌剂 (OAA) 坚持计划的策略. 电子健康记录 (EHR) 模板和标准操作程序 (SOP) 等标准化工具非常有效.
科学领域:
- 在瘤学瘤学.
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 现实世界癌症护理结果经常与临床试验结果不同,原因是患者特异性因素,包括不坚持口服抗癌药物 (OAAs).
- 现有的瘤指南建议患者支持计划,但实际实施指南仍然很少.
研究的目的:
- 通过混合方法方法提高OAA遵守计划 (OAP) 的采用,实施和可持续性.
- 在临床环境中共同开发改善OAA遵守的实际策略.
主要方法:
- 这是一项采用实施映射 (IM) 和多学科专家小组的双阶段混合方法研究.
- 第一个阶段:制定六个核心战略. 第二阶段:通过调查和采访瘤专业人员,评估战略的可行性,可接受性和适当性.
主要成果:
- 开发了六个关键策略:谅解备忘录 (MOU),数据驱动的演示,标准操作程序 (SOP),激励面试 (MI) 培训,电子健康记录 (EHR) 模板和关键绩效指标 (KPIs).
- 确定了EHR模板和SOP作为最可行的和可接受的策略.
- 领导层的支持,分阶段实施和清晰的文档对于成功至关重要,而资源限制和员工工作负担带来了挑战.
结论:
- 实施映射有效地共同开发战略,以建立OAA坚持计划.
- 标准化临床工具,特别是EHR模板和SOP,对于改善OAA遵守是高度重视的.
- 未来的研究应该在混合试验中评估这些策略,以提高现实世界瘤患者的结果.
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