Moncayo Valeria M, Applegate Kimberly E, Duszak Richard, Barron Bruce J, Fitz Jim, Halkar Raghuveer K, Lee Daniel J, Schuster David M
Division of Nuclear Medicine and Molecular Imaging, Department of Radiology and Imaging Sciences, Emory University, 1364 Clifton Rd NE, Room D125A, Atlanta, GA 30322.
Division of Nuclear Medicine and Molecular Imaging, Department of Radiology and Imaging Sciences, Emory University, 1364 Clifton Rd NE, Room D125A, Atlanta, GA 30322.
Acad Radiol. 2015 Jun;22(6):771-8. doi: 10.1016/j.acra.2015.01.014. Epub 2015 Mar 9.
We developed a longitudinal care coordination service to proactively deliver high-quality and family-centered care in patients receiving radioiodine therapy for thyroid cancer. In an iterative, multidisciplinary team manner, a pretherapy consultation service, which included scripted interactions, documentation, and checklists for quality control, evolved over time into a robust patient-centered longitudinal care coordination nuclear medicine service. Radiation safety precautions, the rationale for therapy, and management of patient expectations were addressed through the initial consultation, and discharge and posttreatment care were managed during subsequent follow-up. The patient-physician relationship created during longitudinal nuclear medicine therapy care is one tool to help counteract the growing commoditization of radiology. This article describes the process that the nuclear medicine specialists in our department established to enhance radiologist value by providing both exceptional thyroid cancer treatment and continuity of care.
我们开发了一项纵向护理协调服务，以便在接受甲状腺癌放射性碘治疗的患者中主动提供高质量且以家庭为中心的护理。通过迭代的多学科团队方式，一项治疗前咨询服务（包括标准化互动、文档记录和质量控制清单）随着时间的推移演变成了一项强大的以患者为中心的纵向护理协调核医学服务。通过初始咨询解决了辐射安全预防措施、治疗原理以及患者期望的管理问题，并在后续随访期间对出院和治疗后护理进行管理。在纵向核医学治疗护理过程中建立的医患关系是一种有助于应对放射学日益商品化的工具。本文描述了我们科室核医学专家为通过提供卓越的甲状腺癌治疗和护理连续性来提升放射科医生价值而建立的过程。
