Foglino Silvia, Bravi Francesca, Carretta Elisa, Fantini Maria Pia, Dobrow Mark J, Brown Adalsteinn D
Department of Biomedical and Neuromotor Sciences-DIBINEM, Division of Hygiene and Biostatistics, Alma Mater Studiorum-University of Bologna, via San Giacomo 12, 40126 Bologna, Italy.
Local Health Trust of Romagna, AUSL Romagna-Ravenna, Via de Gasperi 8, 48121 Ravenna, Italy.
Health Policy. 2016 Jan;120(1):55-63. doi: 10.1016/j.healthpol.2015.12.004. Epub 2015 Dec 13.
Health policy documents underscore the need to develop organizational models to optimize the integration of cancer care pathways around patient needs. Still, there is a lack of clarity about the meaning of integrated care as perceived by patients. The purpose of this study is to explore the relationship between the integration of cancer services and patients' experience.
We completed a scoping review of the available literature searching PubMed, Embase and Scopus from the earliest date available in each database to February 2013.
From 1760 bibliographic records, we identified 30 articles relevant for this analysis. Based on the qualitative conventional content analysis, we defined three integrated care approaches: "individual care provider", "team care providers", "mixed approach", that impact on the following patient experience dimensions: patient satisfaction, quality of life, psychological and physical outcomes, continuity of care and empowerment.
This scoping review identifies important aspects of integration from patients' perspective and suggests that policy makers should consider how to best include patients' experience into the patient care pathway. Future perspectives include engaging patients, family members, caregivers and clinicians in an on-going dialogue and have them participate actively in developing, implementing and evaluating policies, services and programmes.
卫生政策文件强调需要制定组织模式，以围绕患者需求优化癌症护理路径的整合。然而，患者所理解的综合护理的含义仍不明确。本研究的目的是探讨癌症服务整合与患者体验之间的关系。
我们对现有文献进行了范围综述，从每个数据库最早可检索到的日期至2013年2月，检索了PubMed、Embase和Scopus数据库。
从1760条书目记录中，我们确定了30篇与本分析相关的文章。基于定性的传统内容分析，我们定义了三种综合护理方法：“个体护理提供者”、“团队护理提供者”、“混合方法”，这些方法会影响以下患者体验维度：患者满意度、生活质量、心理和身体结果、护理连续性和赋权。
本范围综述从患者角度确定了整合的重要方面，并建议政策制定者应考虑如何最好地将患者体验纳入患者护理路径。未来的展望包括让患者、家庭成员、护理人员和临床医生进行持续对话，并让他们积极参与政策、服务和项目的制定、实施和评估。
