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以患者为中心及参与肿瘤护理质量研究

Patient Centeredness and Engagement in Quality-of-Care Oncology Research.

作者信息

Clauser Steven B, Gayer Christopher, Murphy Elizabeth, Majhail Navneet S, Baker K Scott

机构信息

Patient-Centered Outcomes Research Institute, Washington, DC; Cleveland Clinic, Cleveland, OH; Fred Hutchinson Cancer Research Center, Seattle, WA; and National Marrow Donor Program, St Paul, MN

Patient-Centered Outcomes Research Institute, Washington, DC; Cleveland Clinic, Cleveland, OH; Fred Hutchinson Cancer Research Center, Seattle, WA; and National Marrow Donor Program, St Paul, MN.

出版信息

J Oncol Pract. 2015 May;11(3):176-9. doi: 10.1200/JOP.2015.003749. Epub 2015 Apr 7.

Abstract

More than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, obstacles to achieving high-quality care remain, and studies suggest that cancer care is often not as patient centered, accessible, coordinated, or evidence based as it could be. Patients, their families, and clinicians face a wide range of complex and often confusing choices regarding their health and health care concerns and require trustworthy information to decide which options are best for them. The Patient-Centered Outcomes Research Institute (PCORI) strives to fund clinical comparative effectiveness research, guided by patients, caregivers, and the broader health care community, that will provide high-integrity, evidence-based information to help people make informed health care decisions. This mission is well aligned with the IOM's recent conceptual framework and corresponding recommendations that recognize that addressing the needs of patients with cancer and their families is the most important component of a high-quality cancer care delivery system. PCORI seeks the opportunity to partner with diverse interdisciplinary research teams who demonstrate a strong commitment to the inclusion and engagement of patients and stakeholders as they work to develop high-quality cancer care delivery systems. We see rich opportunities for such partnership in the cancer care community, given the wealth of well-established patient advocacy groups and organizations and cutting-edge research institutions, all of which are working toward the common goal of improving the quality of cancer care for patients and their families. This article and the project it describes provide an example of an avenue for advancing this goal.

摘要

在医学研究所(IOM)首次研究癌症护理质量十多年后,实现高质量护理的障碍依然存在,研究表明癌症护理往往在以患者为中心、可及性、协调性或循证性方面未达到应有的水平。患者及其家属以及临床医生在其健康和医疗问题上面临着一系列广泛且常常令人困惑的选择,需要可靠的信息来决定哪种选择最适合他们。以患者为中心的结果研究机构(PCORI)致力于资助由患者、护理人员和更广泛的医疗保健界指导的临床比较效果研究,该研究将提供高度完整、基于证据的信息,以帮助人们做出明智的医疗保健决策。这一使命与IOM最近的概念框架及相应建议高度契合,这些框架和建议认识到满足癌症患者及其家属的需求是高质量癌症护理提供系统的最重要组成部分。PCORI寻求机会与不同的跨学科研究团队合作,这些团队在致力于开发高质量癌症护理提供系统时,对纳入并让患者及利益相关者参与表现出坚定的承诺。鉴于丰富的成熟患者倡导团体和组织以及前沿研究机构,我们认为在癌症护理领域存在着丰富的此类合作机会,所有这些团体和机构都朝着改善患者及其家属癌症护理质量这一共同目标努力。本文及其所描述的项目为推进这一目标提供了一个途径示例。

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