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相关实验视频

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癌症患者导航:大型多站点癌症研究所的项目开发 (2010-2023)

Kris Blackley1, Wael Lasheen2,3, Declan Walsh4,5,6

  • 1Director of Nurse Navigation, Atrium Health Levine Cancer Institute, Charlotte, North Carolina, USA.

BMJ supportive & palliative care
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概括

开发一个全面的病人导航 (PN) 计划需要一个分阶段的方法,专注于标准化和劳动力培训,以改善癌症护理协调和获取,特别是少数群体.

关键词:
癌症 癌症 癌症 癌症案件管理 案例管理家庭管理 家庭管理患者护理团队的团队.支持性护理是一种支持性护理.

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科学领域:

  • 在瘤学瘤学.
  • 医疗保健管理健康管理
  • 患者倡导 患者倡导

背景情况:

  • 在13年的时间里,心房健康莱文癌症研究所 (LCI) 开发了一项多站点患者导航 (PN) 计划.
  • 这个倡议旨在为其他机构创建一个可扩展的模型.

研究的目的:

  • 详细介绍LCI综合,多站点患者导航计划的13年演变.
  • 为旨在建立或增强其导航服务的机构提供见解.

主要方法:

  • 该计划从2010年到2023年通过启动,结构化发展和全系统整合而发展.
  • 关键策略包括任命一个项目主任,使用敏度分级表,将PN整合到电子医疗记录中,并将政策与癌症委员会标准保持一致.
  • 在城市/农村环境中雇佣的全科医生和瘤特定护士导航员,辅以虚拟导航.

主要成果:

  • 该计划改善了护理协调,治疗启动的及时性和公平的准入,特别是对于种族和民族少数群体.
  • 虚拟导航在COVID-19大流行期间表现出有效性.
  • 挑战涉及临床医生购买,服务标准化和资金可持续性;员工发展得到了导航学院和能力评估的支持.

结论:

  • LCI的经验为PN计划开发提供了一个可复制的模型,强调标准化,社区需求和劳动力培训.
  • 更广泛的采用需要进一步基于证据的标准,财务建模和系统集成策略.