少是多:在癌症护理连续过程中逆转范式
Julien A M Vos1,2, Sahar Barjesteh van Waalwijk van Doorn-Khosrovani3,4, Hans M Westgeest5
1Department of General Practice, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.
EClinicalMedicine
|November 10, 2025
概括
癌症护理的"更多是更好的"方法给患者和系统带来负担. 在癌症治疗中转向"少就多"的策略可以提高价值并减少过度使用.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 卫生政策 卫生政策
背景情况:
- 在当前盛行的.
研究的目的:
- 突出荷兰在缓解癌症护理方面的举措.
- 提出减少过度使用和优先考虑癌症护理价值的策略.
主要方法:
- 观点文章综合了当前的做法.
- 对癌症护理中降级和实施努力的分析.
- 为利益相关者提出实用战略的建议.
主要成果:
- 确定了与癌症护理中的"更多是更好的"方法相关的重大负担.
- 突出荷兰正在进行的努力,以缓解无效的做法.
- 倡导向基于价值的范式转变",更少是更好的"癌症护理.
结论:
- 目前的癌症护理模式需要改革,以解决患者和系统负担.
- 降级和降低实施对于优化癌症护理的提供至关重要.
- 需要一种协作式的,多利益相关方的方法来实现瘤学中的"少就多"原则.
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