University of Michigan School of Social Work, Ann Arbor, Michigan.
University of Louisville Kent School of Social Work, Louisville, Kentucky.
Cancer. 2016 Jun 15;122(12):1937-45. doi: 10.1002/cncr.30016. Epub 2016 Apr 12.
This study reports cancer-treating institutions' capacity to deliver comprehensive psychosocial support services.
Oncology care providers at 60 cancer-treating institutions completed surveys assessing the capacity of their institutions to provide psychosocial care. Capacity was assessed with the Cancer Psychosocial Care Matrix (CPCM) from the National Cancer Institute (NCI). Scores represented individuals' perceptions of their cancer program's performance with respect to 10 fundamental elements of psychosocial care.
Among 2134 respondents, 62% reported a mid-level capacity for ≥5 of 10 CPCM items. In comparison with other types of cancer programs (eg, NCI-designated, academic, or comprehensive centers), providers at community cancer programs reported a significantly greater capacity with respect to patient-provider communication, psychosocial needs assessment, and continuity in the delivery of psychosocial care over time. Nurses and primary medical providers reported a significantly lower capacity for linking patients and families with needed psychosocial services within their respective cancer programs. They also reported a significantly higher capacity for conducting follow-up, re-evaluations, and adjustments of psychosocial treatment plans.
Cancer programs are performing moderately well in terms of communicating to patients the importance of psychosocial care, identifying patient psychosocial needs, and referring patients and families to psychosocial services. They are doing less well with respect to the provision of that care over time. Findings suggest that gaps in psychosocial service capacity are a function of patient, provider, and system characteristics. These results may be useful in formulating strategies to enhance psychosocial care delivery. Cancer 2016;122:1937-45. © 2016 American Cancer Society.
本研究报告了癌症治疗机构提供全面心理社会支持服务的能力。
60 家癌症治疗机构的肿瘤护理提供者完成了评估其机构提供心理社会护理能力的调查。能力评估采用美国国立癌症研究所（NCI）的癌症心理社会护理矩阵（CPCM）。分数代表个人对其癌症计划在 10 个心理社会护理基本要素方面的表现的看法。
在 2134 名受访者中，62%的人报告称，他们的癌症计划有能力满足 10 项 CPCM 项目中的 5 项或以上。与其他类型的癌症计划（如 NCI 指定的、学术的或综合中心）相比，社区癌症计划的提供者在患者与提供者之间的沟通、心理社会需求评估以及随着时间的推移心理社会护理服务的连续性方面的能力明显更强。护士和初级医疗提供者报告说，在各自的癌症计划中，将患者及其家属与所需的心理社会服务联系起来的能力明显较低。他们还报告说，进行随访、重新评估和调整心理社会治疗计划的能力明显较高。
癌症计划在向患者传达心理社会护理重要性、识别患者的心理社会需求以及将患者及其家属转介至心理社会服务方面表现良好。但在随时间提供这种护理方面做得较差。研究结果表明，心理社会服务能力的差距是患者、提供者和系统特征的函数。这些结果可能有助于制定加强心理社会护理提供的策略。癌症 2016；122:1937-45。©2016 美国癌症协会。
