语境化实施干预措施,促进在香港的门诊综合性中西瘤服务提供和利用:Delphi研究
Leonard Ho1, Ming Hong Kwong1, Angus S C Li1
1Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Shatin, Hong Kong.
BMC complementary medicine and therapies
|March 29, 2025
概括
一个新的护士领导的门诊综合性瘤学模型与香港的利益相关者共同创建. 这种模式得到了35项实施干预措施的支持,旨在改善地区卫生中心,中国传统医学从业者和瘤学家之间的癌症护理协调.
科学领域:
- 综合性瘤学是一种综合性瘤学.
- 医疗保健服务提供模式
- 专业间合作 专业间合作
背景情况:
- 香港癌症发病率和流行率的上升给卫生系统带来了巨大的财务负担.
- 需要一个协调的门诊整合性瘤学 (IO) 服务模式.
研究的目的:
- 共同创建香港的门诊IO服务提供模式.
- 建立利益相关者推的实施干预措施 (IIs),以促进和利用服务.
主要方法:
- 与11位当地利益相关者进行单独的半结构化背景访谈.
- 德尔菲调查与21位当地利益相关者使用APEASE标准来改进IIs.
主要成果:
- 一个拟议的模型,在地区卫生中心 (DHCs) 的IO专业护士协调私人传统中医从业者 (TCMPs) 和瘤学家之间的转诊.
- 36个IIs被改进,35个在Delphi研究中达成共识 (76.2-100%的同意).
- 可负担性成为推 IIs 最关键的标准.
结论:
- 开发了一种护士主导的门诊IO服务模式,促进护士专家,TCMP和瘤学家之间的合作伙伴关系.
- 35个利益相关者推的II支持该模型的实施.
- 需要进一步的研究来探索政策影响和行政决定因素.
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