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荷兰家庭医生在为居家使用口服抗癌治疗的癌症患者提供护理方面的知识。

Knowledge of Dutch GPs in caring for cancer patients using oral anticancer therapy at home.

机构信息

Department of Medical Ethics, Division of Public Health & Epidemiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Fam Pract. 2013 Dec;30(6):666-70. doi: 10.1093/fampra/cmt047. Epub 2013 Sep 21.

Abstract

BACKGROUND

The GP's role in cancer care is changing and will become increasingly important. One of the challenges for GPs in caring for cancer patients is their lack of specialized knowledge and the impossibility to keep up to date with developments in the field of oncology. We investigated GPs use of knowledge in the case of the increasing use of oral anticancer therapy at home.

OBJECTIVE

The objective of the study was to find out the needs for knowledge improvement for GPs in caring for cancer patients at home, by analysing what kinds of knowledge Dutch GPs use and the ways they obtain knowledge in their daily practice of caring for patients using oral anticancer therapy at home.

METHODS

Semi-structured in-depth interviews were conducted between July and November 2011 with 15 Dutch GPs. A thematic analysis of interview transcripts was conducted.

RESULTS

GPs recognize their lack of specialized knowledge and their inability to keep up to date with developments in the field of oncology. The analysis shows that GPs use different kinds of knowledge and skills they already have to care for their patients and obtain valuable knowledge about oral anticancer therapy via and from their patients.

CONCLUSION

Apart from formal training, GPs may be supported to strengthen the strategies they already use, i.e. to actively mobilize different types and sources of knowledge and use the patient as a source of knowledge in caring for oncology patients at home.

摘要

背景

全科医生在癌症护理中的角色正在发生变化,并且将变得越来越重要。全科医生在照顾癌症患者方面面临的挑战之一是他们缺乏专业知识,并且不可能跟上肿瘤学领域的发展。我们研究了全科医生在越来越多地在家中使用口服抗癌疗法的情况下如何运用知识。

目的

本研究的目的是通过分析荷兰全科医生在照顾在家中接受口服抗癌治疗的癌症患者时使用的知识种类以及他们在日常实践中获取知识的方式,了解他们在照顾癌症患者方面提高知识的需求。

方法

2011 年 7 月至 11 月期间,对 15 名荷兰全科医生进行了半结构化深入访谈。对访谈记录进行了主题分析。

结果

全科医生认识到他们缺乏专业知识,并且无法跟上肿瘤学领域的发展。分析表明,全科医生使用他们已经拥有的不同种类的知识和技能来照顾他们的患者,并通过患者和来自患者的途径获得有关口服抗癌治疗的宝贵知识。

结论

除了正式培训之外,还可以支持全科医生加强他们已经使用的策略,即积极调动不同类型和来源的知识,并在照顾在家中接受肿瘤学治疗的患者时将患者作为知识来源。

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