家庭癌症护理的机会:最后的边境
Sahil D Doshi1, Charlotte D Malling2, Kristen McNiff Landrum3
1Medical Oncology/Hematology Fellow, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
NEJM catalyst innovations in care delivery
|March 13, 2026
概括
通过远程医疗和远程监控将癌症治疗带到家中是有吸引力的,但面临着障碍. 成功实施需要研究,机构支持和更广泛采用监管变化.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 基于家庭的癌症护理,包括远程医疗和远程患者监测,在COVID-19大流行期间获得了吸引力.
- 尽管人们对这些远程服务的兴趣增加了,但这些远程服务的现状,未来潜力,成功和挑战在很大程度上仍未得到记录.
研究的目的:
- 为了对美国的远程癌症护理服务进行景观分析.
- 确定实施远程医疗,远程患者监测,在家治疗癌症和在家医院治疗方案的成功和障碍.
主要方法:
- 与来自美国15个机构的17名临床领导者进行了结构化采访.
- 采访涵盖了远程医疗,远程患者监测,在家治疗癌症,在家医院治疗计划和远程护理中的AI.
主要成果:
- 远程医疗在全国范围内可用于瘤患者,但其范围和容量因机构而异.
- 常见的障碍包括技术基础设施,国家许可,报销问题和机构文化.
- 其他远程护理服务很少实施;成功的计划通常涉及研究,C-suite支持和第三方供应商.
结论:
- 家庭癌症护理的最佳实施需要持续的研究投资,合作,安全的报销以及支持性的监管和立法环境.
- 解决障碍对于扩大远程医疗和远程护理服务至关重要,以改善患者体验和瘤学的准入.
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