Kuhnt S, Mehnert A, Giesler J M, Faust T, Weis J, Ernst J
Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Leipzig, Leipzig.
Klinik für Tumorbiologie an der Albert-Ludwigs-Universität Freiburg, Institut für Reha-Forschung und Prävention, Freiburg.
Gesundheitswesen. 2018 Feb;80(2):113-121. doi: 10.1055/s-0042-100732. Epub 2016 Apr 14.
The psychosocial outpatient care of cancer patients and their families is a central element of oncological care. To date, the provision of care to this group is very heterogeneous in terms of the spectrum of services offered and quality of care. The aim of this study was to develop a multidimensional classification of quality standards for psychosocial outpatient cancer counseling.
We conducted a study using the Delphi method. 97 experts from more than 10 different fields of action or institutional contexts (e. g. mental health care professionals, cancer societies, self-help groups) were included in 3 rounds of Delphi assessment. Finally, 134 single criteria within 9 quality areas (e. g. staff, range of services, documentation) were generated and evaluated for their relevance, clarity, comprehensiveness and level of obligation.
A total of 119 individual criteria (88.8%) achieved consensus within the 3 Delphi rounds. Hereof, 94 were basic criteria (79%) and 25 optional criteria (21%). The highest number of individual criteria referred to the service spectrum (26 individual criteria), documentation (21) as well as staff and accessibility (16 each). Fifteen criteria (11.2%) achieved no consensus and were removed.
For the first time, criteria for assessing the quality of psychosocial outpatient cancer counseling with expert consensus are available, facilitating the evaluation of psychosocial outpatient cancer counseling.
癌症患者及其家属的心理社会门诊护理是肿瘤护理的核心要素。迄今为止，在提供的服务范围和护理质量方面，为这一群体提供的护理非常多样化。本研究的目的是制定心理社会门诊癌症咨询质量标准的多维分类。
我们采用德尔菲法进行了一项研究。来自10多个不同行动领域或机构背景（如精神卫生保健专业人员、癌症协会、自助团体）的97名专家参与了三轮德尔菲评估。最后，在9个质量领域（如人员、服务范围、文档记录）内生成了134条单一标准，并对其相关性、清晰度、全面性和义务程度进行了评估。
在三轮德尔菲评估中，共有119条个人标准（88.8%）达成了共识。其中，94条是基本标准（79%），25条是可选标准（21%）。个人标准数量最多的涉及服务范围（26条个人标准）、文档记录（21条）以及人员和可及性（各16条）。15条标准（11.2%）未达成共识，被剔除。
首次有了经专家共识的评估心理社会门诊癌症咨询质量的标准，便于对心理社会门诊癌症咨询进行评估。
