综合多学科以患者为中心信息在乳腺癌护理中的临床实用性:一种混合方法研究
Atsuko Sugiyama1,2,3, Kazuki Utsunomiya1, Katsuhiko Fujimoto1
1R&D Planning Office, Canon Medical Systems Corporation, Otawara, Tochigi, Japan.
将以患者为中心的信息 (PCI) 整合到多学科团队会议中,提高了乳腺癌护理的效率和以患者为中心. 这种方法支持更好的临床讨论和决策,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
背景情况:
- 以患者为中心的护理在乳腺癌治疗中至关重要.
- 多学科团队会议 (MDTM) 对于复杂的癌症护理至关重要.
- 在MDTM中有效整合患者信息仍然是一个挑战.
研究的目的:
- 评估综合多学科以患者为中心信息 (PCI) 的临床实用性.
- 评估PCI对乳腺癌治疗中以患者为中心的护理的影响.
- 为了比较MDTM的效率和以患者为中心,有和没有集成的PCI.
主要方法:
- 融合混合方法干预设计比较控制 (传统的EHR) 和干预 (EHR + 集成的PCI) MDTMs.
- 关于效率和以患者为中心的利克特规模问卷的定量分析 (威尔科克森排名测试).
- 从MDTM讨论中逐字转录的定性主题分析.
主要成果:
- 干预组在效率和以患者为中心方面显示了统计学上显著的改善 (p<0.05).
- 定性数据表明,PCI利用率增加,以及对干预MDTM的共享理解.
- 综合PCI促进了更有效和以患者为中心的讨论和决策.
结论:
- 综合的多学科PCI可以增强MDTM和常规临床实践.
- 这种方法支持以患者为中心的护理,而不会增加医疗保健专业人员的负担.
- 利用现有的医院信息系统进行PCI促进了医疗保健数字化转型.
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