一个短信干预,以尽量减少癌症护理的时间负担
Erin M Bange1,2, Kerry Q Coughlin3, Wenrui Li4,5
1Former Medical Oncology Fellow, Abramson Cancer Center, University of Pennsylvania, Philadelphia, USA.
NEJM catalyst innovations in care delivery
|July 22, 2025
概括
一项试点研究发现,基于短信的电子分拣 (e-triage) 将每次癌症护理访问的总时间平均减少了66分钟. 这种方法简化了接受免疫检查点抑制剂的患者的护理,最大限度地减少了时间毒性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 癌症患者经历了与医疗保健预约相关的大量时间负担.
- 电子患者报告的结果用于毒性监测,但尚未用于简化护理.
- 尽量减少"时间毒性"对于改善患者在门诊癌症护理中的体验至关重要.
研究的目的:
- 评估基于短信的症状报告电子分拣 (e-triage) 与常规护理的有效性和实施情况.
- 为了确定e-triage是否可以最大限度地减少与门诊癌症护理相关的时间毒性.
- 在瘤学家中评估电子选的可行性和可接受性.
主要方法:
- 一个混合型1有效性实施,未盲目的,随机对照试验与连续混合方法.
- 纳入了接受单剂免疫检查点抑制剂 (ICI) 固体瘤的成年患者.
- 该干预涉及基于短信的症状报告以进行电子分离,允许符合条件的患者绕过治疗前的办公室访问.
主要成果:
- 电子分离组每次出院治疗的总时间平均减少了66.0分钟 (P=0.03).
- 在e-triage组中,等待时间也减少了,尽管在统计学上并不显著 (P=0.08).
- 瘤学家发现电子分离系统是可以接受的,适当的和可行的,尽管发现了患者识别和报销问题等障碍.
结论:
- 基于短信的e-triage显示出希望,可以减少接受门诊护理的癌症患者的时间负担.
- 这些发现支持进一步调查e-triage作为一种安全评估治疗准备度和尽量减少时间毒性的策略.
- 瘤学家的实施准备是积极的,但确定的障碍需要注意更广泛的采用.
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