Jacobsen Paul B, Lee Morgan
Moffitt Cancer Center, Tampa, FL.
Cancer Control. 2015 Oct;22(4):442-9. doi: 10.1177/107327481502200410.
Despite growing recognition that psychosocial care is an essential component of comprehensive cancer care, evidence suggests many patients with cancer do not receive needed psychosocial care.
Four areas were identified as potentially increasing the number of patients with cancer who receive needed psychosocial care: (1) formulating care standards, (2) issuing clinical practice guidelines, (3) developing and using measurable indicators of quality of care, and (4) demonstrating projects designed to improve the delivery of care.
Standards for psychosocial care are identified, including a standard issued in 2015 by an accrediting organization. Three clinical practice guidelines for provisioning psychosocial care are also identified and reviewed. Methods for monitoring the quality of psychosocial care are characterized and the impact of monitoring changes in quality are evaluated in relation to existing evidence. Examples are provided of 2 large-scale efforts designed to improve the delivery of psychosocial care in community settings.
Although considerable progress has been made in integrating psychosocial care into routine cancer care, work must still be done. Additional progress will be fostered by continued efforts to promote adherence to clinical practice guidelines and care standards for psychosocial care and by the development and dissemination of models that demonstrate how practices can implement these guidelines and standards.
尽管人们越来越认识到心理社会护理是综合癌症护理的重要组成部分，但有证据表明，许多癌症患者并未得到所需的心理社会护理。
确定了四个可能增加接受所需心理社会护理的癌症患者数量的领域：（1）制定护理标准；（2）发布临床实践指南；（3）制定和使用可衡量的护理质量指标；（4）展示旨在改善护理服务的项目。
确定了心理社会护理标准，包括一个认证组织在2015年发布的标准。还确定并审查了三项提供心理社会护理的临床实践指南。描述了监测心理社会护理质量的方法，并根据现有证据评估了监测质量变化的影响。提供了两个旨在改善社区环境中心理社会护理服务的大规模努力的实例。
尽管在将心理社会护理纳入常规癌症护理方面已经取得了相当大的进展，但仍需继续努力。通过持续努力促进对心理社会护理临床实践指南和护理标准的遵守，以及开发和传播展示实践如何实施这些指南和标准的模式，将推动进一步取得进展。
