Lim J W, Shon E J, Yang E J
College of Social Welfare, Kangnam University, Yongin, Korea.
Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA.
Eur J Cancer Care (Engl). 2018 Jan;27(1). doi: 10.1111/ecc.12613. Epub 2016 Dec 7.
This study aimed to explore healthcare providers' perceptions of the issues and problems as well as suggestions regarding the development of cancer survivorship care models in South Korea. An exploratory, descriptive, qualitative study was conducted with eight Korean healthcare providers using individual interviews. Purposive sampling was performed in a university hospital in Gyeonggi-do, Korea. Three concepts of the Chronic Care Model (CCM) were employed to identify the issues and problems with developing a survivorship care model for Korean cancer survivors. Based on these concepts, seven themes were identified: (1) absence of a multidisciplinary care system; (2) fragmented care services; (3) lack of emotional support; (4) absence of a shared care system for long-term survivorship care; (5) lack of communication between physicians and cancer survivors; (6) limited resources in the communities; and (7) poorly tailored long-term survivorship cancer care. In terms of suggestions, four themes were identified: (1) healthcare organisation; (2) clinical information systems; (3) community resources; and (4) follow-up care. The current study identified the applicability of key concepts from the CCM to formulate a Korean cancer survivorship model. Findings suggest that cancer survivors should be managed as persons with chronic diseases based on long-term survivorship care.
本研究旨在探讨韩国医疗服务提供者对癌症生存护理模式发展中存在的问题及相关建议的看法。采用个人访谈的方式,对八位韩国医疗服务提供者进行了一项探索性、描述性的定性研究。研究在韩国京畿道的一家大学医院进行了目的抽样。运用慢性病护理模式(CCM)的三个概念来确定为韩国癌症幸存者制定生存护理模式时存在的问题。基于这些概念,确定了七个主题:(1)缺乏多学科护理系统;(2)护理服务分散;(3)缺乏情感支持;(4)缺乏长期生存护理的共享护理系统;(5)医生与癌症幸存者之间缺乏沟通;(6)社区资源有限;(7)长期生存癌症护理的针对性差。在建议方面,确定了四个主题:(1)医疗组织;(2)临床信息系统;(3)社区资源;(4)后续护理。本研究确定了CCM关键概念在制定韩国癌症生存模式中的适用性。研究结果表明,应基于长期生存护理将癌症幸存者作为慢性病患者进行管理。