在患者共享网络中为患有乳腺癌,结肠直肠癌和非小细胞肺癌的患者提供息护理服务
Wenyu Zhang1, Tara L Kaufmann2,3, Ashlee A Korsberg1
1Department of Biomedical Data Science, Dartmouth College Geisel School of Medicine, Lebanon, New Hampshire, USA.
BMJ supportive & palliative care
|December 12, 2025
概括
癌症患者很少获得息治疗 (PC),大多数瘤学家间接与PC专家联系在一起. 提高专家人数和协作是改善医疗服务的关键.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 及时的息治疗 (PC) 可以改善癌症患者的治疗结果,但利用率很低.
- 了解PC临床医生的访问和与瘤学家的合作至关重要.
研究的目的:
- 确定早期和晚期癌症患者获得PC临床医生的机会.
- 评估使用患者共享网络的瘤医生和PC专家之间的合作.
主要方法:
- 监测,流行病学和最终结果的分析-医疗保险数据 (2016-2019).
- 包括患有I-IV期乳腺,结肠直肠或非小细胞肺癌的患者.
- 评估PC接触和医生共享网络 (直接/间接连接).
主要成果:
- 在100891名癌症患者中,只有6%接受了PC服务,15%的癌症患者在第四阶段接受PC服务,而在I-III阶段接受PC服务的患者只有3%.
- 个人电脑专家提供了33%的个人电脑接触 (36%的I-III阶段;32%的IV阶段).
- 2019年,85%的瘤学家与PC专家有间接 (69%) 或直接 (16%) 的联系.
结论:
- 患者共享网络分析表明,专业PC的整合有限.
- 大多数瘤学家间接与PC专家合作,突出了直接整合的差距.
- 扩大PC专业劳动力和加强合作对于改善医疗服务的准入和质量至关重要.
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