农村瘤学家对专科短缺的看法和对护理提供的影响:一种定性研究
Erika L Moen1,2,3, Christopher Tirrell2, Gabriel A Brooks2,3,4
1Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH.
JCO oncology practice
|May 12, 2025
概括
瘤医生短缺会影响护理团队和患者的治疗结果. 应对专家短缺的策略可能会导致患者负担增加和医生倦怠.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 专业医生短缺是医疗保健中日益关注的问题.
- 农村地区在获得专业医疗保健方面往往面临更大的挑战.
研究的目的:
- 探索瘤学家对专家稀缺的经验.
- 确定用于在短缺期间管理护理的策略.
- 了解短缺对患者护理和医生的影响.
主要方法:
- 与20名瘤学家进行了半结构化采访.
- 参与者在服务于农村人口的卫生系统中进行实践.
- 用专题分析来分析采访数据.
主要成果:
- 医生短缺影响了护理团队的专业知识,协作和患者数量.
- 瘤学家采用了诸如外部推,从事子专业以外的实践和时间重新分配等策略.
- 后果包括患者旅行增加,治疗延迟/低于最佳水平,临床试验访问减少和医生倦怠.
结论:
- 瘤医生短缺为患者的护理提供带来了复杂的挑战.
- 适应性策略对患者和医生都有显著的下游影响.
- 了解这些影响对于资源分配和减轻负面影响至关重要.
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