多学科临床医生对癌症治疗期间患者可避免的急诊室使用的观点
Arthur S Hong1,2,3, Ethan A Halm4, D Mark Courtney5
1Department of Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390 - 9169, USA. Arthur.Hong@UTSouthwestern.edu.
紧急诊所 (ED) 和瘤诊所的临床医生并不认为癌症患者因化疗并发症的访问是ED过度使用,这与政策观点相反. 这些团队之间有限的沟通影响了急性护理的提供.
科学领域:
- 在瘤学瘤学.
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 记录了患者在癌症治疗期间使用急诊室 (ED) 的观点.
- 提供者和政策利益存在于减少成人癌症患者的ED访问.
- 在癌症治疗期间对ED护理的临床观点仍然未得到报道.
研究的目的:
- 调查急诊部 (ED) 和瘤临床医生对急性护理需求和成人癌症患者ED过度使用的观点.
- 确定ED和瘤团队在癌症患者护理方面的合作中的障碍和促进者.
主要方法:
- 使用与临床医生进行半结构面试的定性研究.
- 2018年至2022年与急诊部 (ED) 和安全网瘤学临床医生 (n=21) 进行的采访.
- 使用常数比较方法分析的数据.
主要成果:
- ED医生对过度使用有不同的定义,不包括疼痛或恶心/吐的访问.
- 临床医生表示担心生命末期访问不太可能受益于医院护理.
- 在ED和瘤团队之间存在有限的沟通,没有意识到可用的紧急护理资源.
结论:
- 确定了急性护理的未被充分认识到的方面,特别是紧急医疗和瘤学之间的沟通差距.
- 与政策观点相反,ED和瘤临床医生并没有将化疗并发症的访问视为ED过度使用.
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