在癌症护理中开发患者导航实践框架:全球倡议推进癌症导航以获得更好的结果 (GINO) 项目
Imogen Ramsey1, Fiona Crawford-Williams1, Carla Thamm1
1Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia.
EClinicalMedicine
|March 12, 2026
概括
患者导航程序帮助患者克服医疗保健障碍. 全球倡议推进癌症导航开发了一个框架来定义患者导航范围,帮助全球计划实施.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 患者导航对于解决医疗保健障碍和确保及时访问至关重要.
- 患者导航实践的确切范围仍然不清楚,阻碍了全球实施.
- 全球倡议推进癌症导航以获得更好的结果 (GINO) 成立是为了解决这种模两可的问题.
研究的目的:
- 开发一个全面的实践框架,用于癌症护理中的患者导航.
- 澄清全球患者导航的范围和关键组成部分.
- 支持在全球范围内开发和实施有效的患者导航计划.
主要方法:
- 采用了两阶段的方法,从文献综述开始.
- 第二阶段使用了经过修改的Delphi过程,与国际患者导航专家合作,持续了六个月 (2024年7月至12月).
- 通过在线调查和最终的共识会议,就实践建立了共识,在1-5重要性尺度上对实践进行了评分.
主要成果:
- 来自29个国家的81名专家参加了最初的轮回,其中60人继续进入第二轮.
- 达成共识的实践 (≥75%的参与者评价≥4) 被纳入框架.
- 最终的GINO实践框架包括32个以共识驱动的项目,定义了癌症护理患者导航的范围.
结论:
- 国际专家成功开发了一个基于共识的实践框架,用于癌症护理中的患者导航.
- 该框架澄清了患者导航的范围,为标准化的全球实施提供了基础.
- 预计GINO框架将促进全球患者导航计划的创建和增强.
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