当有限的临床时间与患者相遇时,无限的在线信息与无限的在线信息相遇
Ilona Fridman1,2,3, Skyler B Johnson4, Heather M Derry-Vick1,2
1Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ, United States.
JMIR cancer
|September 26, 2025
概括
癌症患者越来越多地使用在线健康信息,危及患者与临床医生的关系. 临床医生需要实用策略来支持患者.
科学领域:
- 在瘤学瘤学.
- 卫生沟通健康沟通
- 以患者为中心的护理
背景情况:
- 癌症患者越来越多地在网上寻找健康信息,可能会用不可靠的数据取代患者和临床医生的关系.
- 与医疗保健提供者 (HCP) 咨询时间不足是主要的驱动因素,阻碍了解决患者信息和情感需求的能力.
- 目前的临床程序,加重行政任务,限制了关系咨询和共享决策的机会.
研究的目的:
- 强调在瘤学中碎片化的在线健康信息对患者和临床医生的关系构成的风险.
- 确定时间限制和行政负担对医疗保健工作人员支持癌症患者需求的能力的影响.
- 为临床医生提出实用,基于证据的策略,以加强患者与医疗服务提供者的关系和共同决策.
主要方法:
- 对瘤学当前患者与临床医生的相互作用面临的挑战进行定性分析.
- 审查有关健康沟通,共享决策和患者支持策略的现有文献.
- 基于基于证据的实践,为临床医生制定可行的建议.
主要成果:
- 咨询时间不足会破坏患者的信任,并可能导致治疗选择不足,或依赖未经证实的在线信息.
- 政策改革是必要的,以减少行政负担,但立即临床医生层面的战略至关重要.
- 拟议的战略旨在满足患者的信息和情感需求,加强关系,使决策与证据和偏好保持一致.
结论:
- 解决时间短缺和行政负担对于保持癌症护理中患者和临床医生的关系至关重要.
- 临床医生可以实施实际策略来改善患者的支持,共享决策和坚持基于证据的治疗方法.
- 加强患者与医疗保健人员的关系对于确保癌症患者获得适当,个性化和证据支持的护理至关重要.
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