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通过独特的多学科远程医疗计划,尽量减少妇科癌症监测的旅行负担

Avni Shridhar¹, Suzanne Viator¹, Tara Castellano¹

¹Section of Gynecologic Oncology, Department of Obstetrics and Gynecology, School of Medicine, Louisiana State University Health Sciences Center New Orleans, and the Department of Gynecologic Oncology, University Medical Center New Orleans LCMC Health, New Orleans, and the Section of Gynecologic Services, Ochsner University Hospital & Clinics, Lafayette, Louisiana; and the Section of Gynecological Oncology, Department of Obstetrics, Gynecology and Reproductive Sciences, Miller School of Medicine, University of Miami, Miami, Florida.

|October 27, 2025

概括

混合远程医疗模式Steel Magnolias计划显著降低了农村妇科癌症幸存者的旅行负担. 这种创新方法确保了高标准的遵守和患者满意度,改善了幸存者护理.

科学领域:

妇科瘤学妇科瘤学
远程医疗服务是远程医疗服务.
癌症幸存者护理护理

背景情况:

农村妇科癌症患者面临着大量的后续护理旅行负担.
多学科监测对于最佳的妇科癌症存活率至关重要.
现有的远程医疗模式可能无法完全满足农村癌症幸存者的需求.

研究的目的:

评估 STEEL MAGNOLIAS 计划的可行性,这是一个用于妇科癌症监测的新型混合远程医疗模型.
评估 STEEL MAGNOLIAS 对减少旅行负担,癌症结果和患者满意度的影响.
在计划中确定遵守国家综合癌症网络 (NCCN) 准则.

主要方法:

63名妇科癌症患者缓解期的回顾性图表审查 (2020年3月-2023年9月).
分析旅行指标,患者满意度 (PSQ-18),财务毒性 (COST-FACIT) 和遵守NCCN指南.
用描述性统计和威尔科克森等级总和测试来评估可行性和满意度.

主要成果:

患者使用 STEEL MAGNOLIAS 平均行程为 16.9 英里,而传统访问则为 137 英里.
82.5%的患者活着,没有疾病迹象;报告的患者满意度很高.
76.9%的约会遵循NCCN的指导方针,常见讨论包括症状,实验室和成像.

结论:

STEEL MAGNOLIAS是一种可行的,创新的混合远程医疗模型,用于农村妇科癌症监测.
该计划有效地减少了旅行负担,同时保持了高标准的遵守和患者满意度.
这种可扩展的模型有可能改善农村人口的癌症生存结果和合规性.

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