在农村和城市环境中瘤科医生离开后,患者共享模式的变化:医疗保险队列研究
Sarah L Cornelius1, A James O'Malley1,2,3, Gabriel A Brooks2,3,4
1Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH 03756 USA.
瘤学家的离职影响了癌症护理团队. 农村瘤学家扩大了患者网络,而城市瘤学家巩固了,显示了适应性反应,以确保患者护理的连续性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 有效的癌症护理协调依赖于多学科团队.
- 在美国,瘤学家的营业额正在上升,但团队的影响还没有得到充分研究.
- 了解医生离开后的实践变化对于患者护理连续性至关重要.
研究的目的:
- 调查瘤学家离开对剩余护理团队成员的影响.
- 为了分析患者共享模式的变化,保留的瘤学家.
- 为了比较农村与城市实践环境中的影响.
主要方法:
- 已使用的医疗保险申请,适用于66至99岁的受益人.
- 确定了医疗瘤学家,放射瘤学家和瘤外科医生.
- 应用多变量层次线性回归来分析患者共享网络在离开后的变化 (2017-2019).
主要成果:
- 保留的农村瘤学家经历了患者共享关系的扩张和重组.
- 被保留的城市瘤科医生显示患者共享网络的巩固.
- 网络重组建议采取适应性反应,以确保患者的连续性.
结论:
- 瘤学家的离职显著改变了护理团队的动态和患者共享模式.
- 农村和城市环境为瘤实践带来独特的挑战和适应性策略.
- 需要进一步的研究,以充分理解对患者的治疗结果和医疗保健的影响.
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