迈向初级保健与癌症护理的整合：加拿大当前差距与机遇的区域研究
Towards Integrating Primary Care with Cancer Care: A Regional Study of Current Gaps and Opportunities in Canada.
作者信息
Sussman Jonathan, Bainbridge Daryl, Evans William K
机构信息
Department of Oncology, McMaster University, Hamilton, ON.
出版信息
Healthc Policy. 2017 Feb;12(3):50-65.
BACKGROUND AND OBJECTIVES
Better integration between cancer care systems and primary care physicians (PCPs) is a goal of most healthcare systems, but little direction exists on how this can be achieved. This study systematically examined the extent of integration between PCPs and a regional cancer program (RCP) to identify opportunities for improvement.
METHOD
Cross-sectional survey of all practising PCPs in the region of interest using a study-specific instrument based on a three-tier conceptualization of integration.
RESULTS
Among the 473 PCPs who responded (63% response rate), perceived role clarity and the desire for greater involvement in patient care varied across the care trajectory. Specific gaps were identified in PCPs' understanding of the referral process and patient follow-up after treatment.
CONCLUSION
Our novel survey of PCPs explicated the strategies that could improve their integration in cancer care, including mechanisms to support PCPs in the initial diagnosis of their patients and standardized post-treatment transition plans outlining care roles and responsibilities.
背景与目的
改善癌症护理系统与初级保健医生（PCP）之间的整合是大多数医疗保健系统的目标，但对于如何实现这一目标却缺乏指导。本研究系统地考察了初级保健医生与区域癌症项目（RCP）之间的整合程度，以确定改进的机会。
方法
使用基于整合的三层概念化的特定研究工具，对感兴趣区域内所有执业初级保健医生进行横断面调查。
结果
在473名做出回应的初级保健医生中（回应率为63%），在整个护理过程中，感知到的角色清晰度以及更深入参与患者护理的愿望各不相同。在初级保健医生对转诊过程和治疗后患者随访的理解方面发现了具体差距。
结论
我们对初级保健医生的新颖调查阐明了可改善他们在癌症护理中整合的策略，包括在患者初始诊断时支持初级保健医生的机制，以及概述护理角色和责任的标准化治疗后过渡计划。
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