Academic Division of Surgical and Interventional Sciences, University College London, London, UK.
Inform Health Soc Care. 2011 Sep;36(3):117-31. doi: 10.3109/17538157.2010.520420.
In response to concern about lengthy waiting times for cancer treatment in the UK, the Department of Health introduced 'the colorectal cancer target referral scheme' to improve the referral process for suspected cancer. A user-centred web-based intranet software was developed reflecting the core work of the multi-disciplinary cancer team and the patient journey. The method used was primarily based on the concept of involving the end users (clinicians, nurses, administration staff) in the process of problem definition, software design, formative evaluation, development and implementation, from the very beginning, to ensure its relevance, functionality, and effectiveness. This software improved the interdisciplinary communication among doctors. All patients met the government waiting targets and proved to be a facilitative tool for audit, research and further prospective assessment of our service. Implementing a functional software design is mandatory for the management of target referral patients.
针对英国癌症治疗等待时间过长的问题,卫生部推出了“结直肠癌目标转诊计划”,以改善疑似癌症患者的转诊流程。开发了一个以用户为中心的基于网络的内部网软件,反映了多学科癌症团队的核心工作和患者的就诊流程。该方法主要基于让最终用户(临床医生、护士、行政人员)从一开始就参与问题定义、软件设计、形成性评估、开发和实施过程的概念,以确保其相关性、功能性和有效性。该软件改善了医生之间的跨学科交流。所有患者都符合政府的等待目标,并且是审核、研究和进一步评估我们服务的有利工具。为了管理目标转诊患者,实施功能齐全的软件设计是强制性的。