在常规癌症护理中实施数字患者报告结果:障碍和促进者
S G Aanes1,2, S Wiig3, C Nieder1,2
1Department of Oncology and Palliative Medicine, Nordland Hospital Trust, Bodø, Norway.
ESMO real world data and digital oncology
|February 6, 2026
概括
在癌症护理中实施数字患者报告结果 (PRO) 需要解决时间和IT问题等障碍. 促进者包括用户友好的系统和利益相关者参与,以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 实施科学 实施科学
背景情况:
- 在癌症治疗中,患者报告的结果 (PRO) 和医疗保健人员报告的结果之间存在很大的差距.
- 尽管PRO在症状,生活质量和生存方面表现出好处,但它们的整合到常规护理中仍然有限.
- 本次审查侧重于在常规癌症护理环境中实施数字PRO的障碍和促进因素.
研究的目的:
- 审查已发表的关于在常规癌症护理中实施数字患者报告结果 (PRO) 的障碍和促进者的经验.
- 确定影响电子 PRO (ePRO) 系统成功采用的关键因素.
- 为弥合PRO数据与临床实践之间的差距制定策略.
主要方法:
- 在PubMed和Ovid Medline的EBMR中进行了全面的文献搜索.
- 搜索涵盖了2017年1月1日至2023年8月29日的出版物.
- 从313个记录的初步选中,选出了15个相关记录.
主要成果:
- 促进者包括用户友好的ePRO解决方案,修订的工作流程,利益相关者的参与以及适当的支持/基础设施.
- 确定的主要障碍是缺乏对好处的认识,时间限制,数字素养/访问问题,负面的工作流影响,不充分的IT基础设施,员工不参与和成本.
- 成功实施取决于解决这些具体障碍,并利用已识别的促进者.
结论:
- 成功实施ePRO需要采取战略方法来克服已识别的障碍,并利用促进者.
- 利用实施框架和质量改进方法可以通过考虑当地环境来加强采用.
- 对于可持续的PRO实施,需要进一步的现实世界的证据,强调医疗和实施科学的整合.
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