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癌症患者幸存者的决策与参与:一项道德要求。

Decisions and the involvement of cancer patient survivors: a moral imperative.

作者信息

Pravettoni Gabriella, Cutica Ilaria, Righetti Simona, Mazzocco Ketti

机构信息

Department of Oncology and Hematology, University of Milan.

Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology, Milan, Italy.

出版信息

J Healthc Leadersh. 2016 Dec 7;8:121-125. doi: 10.2147/JHL.S115434. eCollection 2016.

DOI:10.2147/JHL.S115434
PMID:29355188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5741003/
Abstract

PURPOSE

The aim of this study was to review the experiences of direct involvement in patient survivorship for treatment and research.

METHODS

This is a narrative-focused review of the following two recent experiences of patient involvement: the Chordoma Foundation and the Triple Negative Breast Cancer Foundation.

RESULTS

These two examples represent concrete experiences that patients have built to favor a real involvement in the care and treatment of tumors. These experiences are profoundly modifying how cancer research is conducted and draw attention to the psychosocial dimensions of health care.

CONCLUSION

These examples represent the new scenario in which modern medicine faces completely new challenges, copes with new needs, and cooperates with new health care professionals.

IMPLICATIONS

Involving patients in a new perspective raises practical and ethical challenges for organizations to work together, for health providers to be professionally skilled and for the government to promote safeguarding policies.

摘要

目的

本研究旨在回顾直接参与患者生存治疗与研究的经历。

方法

这是一篇以叙述为重点的综述,涉及以下两项近期患者参与的经历:脊索瘤基金会和三阴性乳腺癌基金会。

结果

这两个例子代表了患者为切实参与肿瘤护理和治疗所积累的具体经验。这些经验正在深刻改变癌症研究的开展方式,并使人们关注医疗保健的社会心理层面。

结论

这些例子代表了现代医学面临全新挑战、应对新需求并与新的医疗保健专业人员合作的新情况。

启示

从新的视角让患者参与其中,给各组织协同合作、医疗服务提供者具备专业技能以及政府推行保障政策带来了实际和伦理方面的挑战。

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本文引用的文献

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Understanding cognitive processes behind acceptance or refusal of phase I trials.理解接受或拒绝 I 期临床试验背后的认知过程。
Crit Rev Oncol Hematol. 2016 Apr;100:69-73. doi: 10.1016/j.critrevonc.2016.01.023. Epub 2016 Jan 23.
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The choice dilemma in chronic hematological conditions: Why choosing is not only a medical issue? A psycho-cognitive perspective.慢性血液疾病中的选择困境:为何选择不仅仅是一个医学问题?一种心理认知视角
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A Cohort Pilot Study on HIV-Associated Neuropsychological Impairments in Hemophilia Patients.血友病患者中与HIV相关的神经心理障碍的队列试点研究。
Front Hum Neurosci. 2015 Jun 2;9:313. doi: 10.3389/fnhum.2015.00313. eCollection 2015.
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Development and psychometric testing of a breast cancer patient-profiling questionnaire.一份乳腺癌患者概况调查问卷的编制与心理测量学测试
Breast Cancer (Dove Med Press). 2015 Jun 1;7:133-46. doi: 10.2147/BCTT.S80014. eCollection 2015.
5
Patients and staff as codesigners of healthcare services.患者和工作人员作为医疗服务的共同设计者。
BMJ. 2015 Feb 10;350:g7714. doi: 10.1136/bmj.g7714.
6
Building a global consensus approach to chordoma: a position paper from the medical and patient community.建立全球共识方法治疗 chordoma:来自医学和患者社区的立场文件。
Lancet Oncol. 2015 Feb;16(2):e71-83. doi: 10.1016/S1470-2045(14)71190-8.
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Rare Cancers Europe (RCE) methodological recommendations for clinical studies in rare cancers: a European consensus position paper.欧洲罕见癌症临床研究的方法学建议:一份欧洲共识立场文件
Ann Oncol. 2015 Feb;26(2):300-6. doi: 10.1093/annonc/mdu459. Epub 2014 Oct 1.
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Interactive sections of an Internet-based intervention increase empowerment of chronic back pain patients: randomized controlled trial.基于互联网的干预措施中的互动环节可增强慢性背痛患者的自主感:随机对照试验
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Personalised medicine: the cognitive side of patients.个性化医疗:患者的认知层面
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Is There Evidence for Neurocognitive Dysfunctions in Patients with Postnatal HIV Infection? A Review on the Cohort of Hemophilia Patients.是否有证据表明患有后天性 HIV 感染的患者存在神经认知功能障碍?血友病患者队列的综述。
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