紧急医生在加拿大安大略省管理疑似癌症诊断的患者的经验:一种定性研究
Carley Moore1,2, Bojana Petrovic3, Jacqueline L Bender1,4
1University of Toronto, Toronto, Ontario, Canada.
BMJ open
|September 8, 2025
概括
紧急医生在紧急诊所 (ED) 管理新的疑似癌症诊断时面临重大挑战. 这些系统,机构和患者层面的问题使得ED环境中的癌症诊断复杂化.
科学领域:
- 在瘤学瘤学.
- 紧急医疗 紧急医疗
- 定性研究是指质量研究.
背景情况:
- 急诊室 (ED) 是癌症诊断的常见入口点.
- 了解紧急医生的经验,在ED新的怀疑癌症诊断是有限的.
研究的目的:
- 探索紧急医生的经验,管理患者新怀疑的癌症诊断在ED.
主要方法:
- 在2024年1月至4月期间进行的定性描述性研究.
- 与加拿大安大略省20名急诊医生的半结构面试.
- 对面试成绩单进行主题分析,以确定关键主题.
主要成果:
- 出现了四个主要主题:医疗保健系统因素,机构/提供者挑战,患者特征和护理协调需求.
- 系统层面的因素通过ED显著影响疑似癌症诊断途径.
- 医生在管理这些复杂的病例时面临着机构和医疗服务提供者层面的困难.
结论:
- 紧急医生在ED中管理疑似癌症诊断时遇到独特的挑战.
- 在ED环境下,有效地诊断疑似癌症存在重大困难.
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