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一项关于癌症幸存者护理计划的初级保健教育项目的影响:一项针对幸存者健康的工程、初级保健和肿瘤学协作研究的结果。

The Impact of a Primary Care Education Program Regarding Cancer Survivorship Care Plans: Results from an Engineering, Primary Care, and Oncology Collaborative for Survivorship Health.

作者信息

Donohue SarahMaria, Haine James E, Li Zhanhai, Trowbridge Elizabeth R, Kamnetz Sandra A, Feldstein David A, Sosman James M, Wilke Lee G, Sesto Mary E, Tevaarwerk Amye J

机构信息

University of Wisconsin, Madison, WI, USA.

Department of Medicine, Division of Internal Medicine, University of Wisconsin, Madison, WI, USA.

出版信息

J Cancer Educ. 2019 Feb;34(1):154-160. doi: 10.1007/s13187-017-1281-9.

Abstract

Survivorship care plans (SCPs) have been recommended as tools to improve care coordination and outcomes for cancer survivors. SCPs are increasingly being provided to survivors and their primary care providers. However, most primary care providers remain unaware of SCPs, limiting their potential benefit. Best practices for educating primary care providers regarding SCP existence and content are needed. We developed an education program to inform primary care providers of the existence, content, and potential uses for SCPs. The education program consisted of a 15-min presentation highlighting SCP basics presented at mandatory primary care faculty meetings. An anonymous survey was electronically administered via email (n = 287 addresses) to evaluate experience with and basic knowledge of SCPs pre- and post-education. A total of 101 primary care advanced practice providers (APPs) and physicians (35% response rate) completed the baseline survey with only 23% reporting prior receipt of a SCP. Only 9% could identify the SCP location within the electronic health record (EHR). Following the education program, primary care physicians and APPs demonstrated a significant improvement in SCP knowledge, including improvement in their ability to locate one within the EHR (9 vs 59%, p < 0.0001). A brief educational program containing information about SCP existence, content, and location in the EHR increased primary care physician and APP knowledge in these areas, which are prerequisites for using SCP in clinical practice.

摘要

幸存者护理计划(SCPs)已被推荐作为改善癌症幸存者护理协调和治疗效果的工具。越来越多的SCPs被提供给幸存者及其初级保健提供者。然而,大多数初级保健提供者仍然不了解SCPs,限制了它们的潜在益处。需要有针对初级保健提供者进行SCPs存在情况和内容教育的最佳实践方法。我们制定了一个教育项目,向初级保健提供者介绍SCPs的存在情况、内容和潜在用途。该教育项目包括一个15分钟的演示,重点介绍在强制性的初级保健教员会议上展示的SCPs基础知识。通过电子邮件以电子方式进行了一项匿名调查(n = 287个地址),以评估教育前后对SCPs的体验和基本知识。共有101名初级保健高级实践提供者(APPs)和医生(35%的回复率)完成了基线调查,只有23%的人报告之前收到过SCP。只有9%的人能够在电子健康记录(EHR)中识别SCP的位置。在教育项目之后,初级保健医生和APPs在SCP知识方面有了显著提高,包括他们在EHR中查找SCP的能力得到了改善(从9%提高到59%,p < 0.0001)。一个包含SCPs的存在情况、内容以及在EHR中的位置信息的简短教育项目提高了初级保健医生和APPs在这些方面的知识,而这些知识是在临床实践中使用SCP的先决条件。

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