Houlihan Nancy G
Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Oncology (Williston Park). 2009 Jul;23(8 Suppl):42-8.
Survivorship care plans have received increasing attention since the 2006 release of the Institute of Medicine report, From Cancer Patient to Cancer Survivor: Lost in Transition. The report strongly recommends that at completion of cancer treatment, clinicians provide patients with a summary of treatment delivered and a detailed plan of ongoing care, including follow-up schedules for visits and testing, as well as recommendations for early detection and management of treatment-related effects and other health problems. Templates have been developed by various groups to support the effort involved in complying with this recommendation. Barriers exist, such as difficulties in accessing information, preparation time involved for busy clinicians, lack of third-party reimbursement, and absence of clear guidelines for follow-up care after cancer treatment. The absence of research related to care plans and patient outcomes also calls their necessity into question. Yet, there is a growing acceptance among oncology physicians and nurses that having a plan of care is an essential component of quality survivorship care.
自2006年医学研究所发布《从癌症患者到癌症幸存者：过渡中的迷失》报告以来，癌症生存护理计划受到了越来越多的关注。该报告强烈建议，在癌症治疗结束时，临床医生应向患者提供所接受治疗的总结以及详细的持续护理计划，包括就诊和检查的随访时间表，以及关于治疗相关影响和其他健康问题的早期检测和管理的建议。各团体已开发出模板，以支持落实这一建议所涉及的工作。存在一些障碍，比如获取信息困难、忙碌的临床医生所需的准备时间、缺乏第三方报销以及癌症治疗后缺乏明确的随访护理指南。与护理计划和患者预后相关的研究缺失也让人质疑其必要性。然而，肿瘤内科医生和护士越来越认可制定护理计划是高质量癌症生存护理的重要组成部分。
