癌症门诊专业息护理转诊吸收:一个单一机构质量改进项目
Luca Petrey1, Rubina Ratnaparkhi2, Elaine Pope3
1Department of Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, KS, USA.
Annals of palliative medicine
|August 6, 2025
概括
专门的息护理转诊往往会延迟,癌症类型之间存在显著的差异. 提高外科瘤学家的转诊率和更早的患者转诊率是提高质量的关键目标.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 建议为晚期癌症患者提供专业的息治疗,但未充分利用,仅有30%的符合条件的患者被转诊.
- 在瘤学的门诊息护理中,转诊模式和利用指标的特征并不清楚.
研究的目的:
- 描述学术癌症中心内的门诊息护理转诊来源,及时性和完成率.
- 为了识别不同瘤子专业的息护理转诊和利用的差异.
主要方法:
- 从2019-2022年对1674个门诊专科息治疗转诊的回顾性质量改进研究.
- 数据包括人口统计,推来源和利用指标;使用描述性统计和比较测试 (chi-square,ANOVA) 进行分析.
主要成果:
- 医学瘤学家发起了57%的转诊,外科瘤学家只有14%.
- 74%的转诊患者被看过;妇科和乳腺癌患者的预约率最高.
- 从转诊到预约的中位时间为20天;41%的患者因患者选择而拒绝护理. 85%的人因死亡而入住临终关怀.
结论:
- 大多数转诊患者得到了及时的门诊息治疗 (30天内).
- 在瘤子专业之间,缓解护理的采用和转诊时间相对于生命末期存在显著的差异.
- 质量改进应侧重于增加外科瘤转诊,提前转诊,并促进息治疗作为通用资源.
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