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共同组织当代瘤护理 - - 对多医院瘤网络的范围审查
Roos van der Ven1, Daan Westra2, Felice van Erning3
1Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands; Department of Health Services Research, Faculty of Health, Care and Public Health Research Institute (CAPHRI), Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands; Department of Oncology and Developmental Biology (GROW), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
多医院瘤网络正在增长,但它们的组织和有效性仍然不清楚. 研究表明,专注于患者的结果和平衡的合作,以改善网络的成功.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院越来越多地形成多医院网络,以提高瘤治疗质量.
- 这些协作网络的最佳组织和有效性尚未明确.
研究的目的:
- 进行多医院瘤网络的范围审查.
- 识别当前的组织结构,治理模式和报告的结果.
- 为提高网络效率提供见解,并指导未来的研究.
主要方法:
- 遵守PRISMA-ScR指南进行全面的范围审查.
- 包括高收入国家的多医院瘤网络 (≥3家医院) 的同行评审研究.
- 搜索英语出版的研究.
主要成果:
- 该研究领域是新生的,描述性的和分散的,对最佳网络组织的理解有限.
- 网络通常具有集中式结构 (hub-and-spoke),但在治理方面有所不同.
- 结果通常是积极的,但主要关注的是过程,而不是患者的结果,方法上有局限性.
结论:
- 多医院瘤网络越来越普遍,通常采用集中式模型.
- 提高网络成功需要平衡的合作,共同决策,并专注于患者的结果.
- 用标准化术语和强大的设计进行进一步的研究对于政策制定至关重要.
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