Nekhlyudov Larissa, Latosinsky Steven
Department of Population Medicine, Harvard Medical School, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA.
J Natl Cancer Inst Monogr. 2010;2010(40):11-7. doi: 10.1093/jncimonographs/lgq001.
Symptomatic individuals presenting to their primary care providers may need further evaluation and/or testing to determine whether a cancer is present. A number of issues arise in determining who needs further testing, what tests are needed, which specialists need to be involved, and how the testing can be organized and supported within a specific health-care system within a timely, coordinated, and cost-efficient manner. This article explores the challenges in the interface of primary care providers and specialists, includes evidence from prior research, and proposes research opportunities to understand and improve this phase of care.
前往初级保健机构就诊的有症状个体可能需要进一步评估和/或检测,以确定是否患有癌症。在确定谁需要进一步检测、需要进行哪些检测、需要哪些专科医生参与,以及如何在特定医疗系统内以及时、协调且经济高效的方式组织和支持检测等方面,出现了诸多问题。本文探讨了初级保健医生与专科医生交接过程中的挑战,纳入了既往研究的证据,并提出了研究机会,以了解和改善这一护理阶段。