Kosty Michael P, Acheson Anupama Kurup, Tetzlaff Eric D
From the Division of Hematology/Oncology, Scripps Clinic, La Jolla, CA; Providence Oncology and Hematology Care, Providence Cancer Center, Portland, OR; Department of Hematology/Oncology, Fox Chase Cancer Center, Philadelphia, PA.
Am Soc Clin Oncol Educ Book. 2015:e622-7. doi: 10.14694/EdBook_AM.2015.35.e622.
The clinical practice of oncology has become increasingly complex. An explosion of medical knowledge, increased demands on provider time, and involved patients have changed the way many oncologists practice. What was an acceptable practice model in the past may now be relatively inefficient. This review covers three areas that address these changes. The American Society of Clinical Oncology (ASCO) National Oncology Census defines who the U.S. oncology community is, and their perceptions of how practice patterns may be changing. The National Cancer Institute (NCI)-ASCO Teams in Cancer Care Project explores how best to employ team science to improve the efficiency and quality of cancer care in the United States. Finally, how physician assistants (PAs) and nurse practitioners (NPs) might be best integrated into team-based care in oncology and the barriers to integration are reviewed.
肿瘤学的临床实践已变得日益复杂。医学知识的激增、对医疗服务提供者时间要求的增加以及患者情况的复杂化，改变了许多肿瘤学家的执业方式。过去可接受的执业模式如今可能相对低效。本综述涵盖了应对这些变化的三个领域。美国临床肿瘤学会（ASCO）全国肿瘤学普查明确了美国肿瘤学界的构成，以及他们对执业模式可能如何变化的看法。美国国立癌症研究所（NCI）-ASCO癌症护理团队项目探讨了如何最好地运用团队科学来提高美国癌症护理的效率和质量。最后，综述了医师助理（PAs）和执业护士（NPs）如何能最佳地融入肿瘤学的团队式护理以及整合过程中的障碍。
