National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-7365, USA.
Cancer J. 2011 Jul-Aug;17(4):222-30. doi: 10.1097/PPO.0b013e318227c811.
For the practicing physician, the behavioral implications of preventing, diagnosing, and treating cancer are many and varied. Fortunately, an enhanced capacity in informatics may help create a redesigned ecosystem in which applying evidence-based principles from behavioral medicine will become a routine part of care. Innovation to support this evolution will be spurred by the "meaningful use" criteria stipulated by the Health Information Technology for Economic and Clinical Health Act of 2009 and by focused research and development efforts within the broader health information ecosystem. The implications for how to better integrate evidence-based principles in behavioral medicine into oncology care through both spheres of development are discussed within the framework of the cancer control continuum. The promise of using the data collected through these tools to accelerate discovery in psycho-oncology is also discussed. If nurtured appropriately, these developments should help accelerate successes against cancer by altering the behavioral milieu.
对于执业医师来说，预防、诊断和治疗癌症的行为影响是多方面的。幸运的是，信息学能力的提高可能有助于创建一个重新设计的生态系统，在这个系统中，应用行为医学的循证原则将成为护理的常规部分。支持这种演变的创新将受到 2009 年《经济和临床健康信息技术法案》规定的“有意义的使用”标准以及更广泛的健康信息生态系统内的重点研究和开发工作的推动。本文在癌症控制连续体的框架内讨论了如何通过这两个发展领域更好地将循证原则整合到肿瘤学护理中的意义。本文还讨论了利用这些工具收集的数据来加速心理肿瘤学发现的前景。如果得到适当的培养，这些发展应该有助于通过改变行为环境来加速抗癌的成功。
