在一个大都市地区支持性瘤学的发展:区域服务
Beth York1, Jacob Self2, Declan Walsh3,4,5
1Department of Supportive Oncology, Atrium Health Levine Cancer, Charlotte, NC, USA. Beth.york@atriumhealth.org.
概括
支持性瘤服务的区域扩张在六年内增加了117%的转诊. 这一举措改善了非城市患者获得关键癌症护理的机会,证明了医疗保健管理项目的有效性.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理部门的管理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对癌症患者来说,获得支持性瘤服务至关重要.
- 非城市患者在获得这些基本服务方面面临重大障碍.
- 医疗保健系统必须解决癌症护理获得的差异,特别是在服务不足的地区.
研究的目的:
- 描述六年来支持性瘤服务在一个大地理区域的区域扩张.
- 解决非城市癌症患者获得支持性瘤治疗的不平等问题.
- 实施和评估旨在扩大服务覆盖范围的行政项目.
主要方法:
- 使用非正式调查和与4个地区的15个瘤实践分享决策.
- 与支持性瘤学领导层合作,确定目标并实施服务扩展.
- 通过转介数据跟踪进展,以衡量扩张计划的影响.
主要成果:
- 调查显示,患者愿意利用虚拟支持服务.
- 患者优先考虑的关键服务包括患者导航,综合性瘤学,息医学和康复.
- 从区域实践中支持性瘤学转诊从2018年到2023年增长了117%.
- 推增长在不同地区和时间段有所不同.
结论:
- 该多年项目成功地将支持性瘤服务扩展到更广泛的地理患者群体.
- 管理方法在六年期间促进了服务供应的持续区域增长.
- 这一举措证明了改善获得全面癌症护理的可行模式.
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