Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
Psychooncology. 2020 Dec;29(12):1982-1987. doi: 10.1002/pon.5409. Epub 2020 May 26.
While screening for psychosocial distress is now the standard of care in oncology, little guidance is available on how best to deliver services in response to identified needs. The American Psychosocial Oncology Society (APOS) convened a task force with the goal of creating a framework that could aid in planning services and justifying requests for resources.
Ten experts from multiple disciplines within psychosocial oncology served on the task force, first meeting together as a larger group over 2 days to set an agenda and then subsequently working in smaller teams to execute the goals. The task force used consensus methods for developing recommendations.
Three principles were identified for the framework. First, psychosocial oncology is a key component of population health, and population-based approaches to care delivery are required. Second, several key parameters shape psychosocial oncology services: resources, aims, and scope. To guide resource allocation, example priorities were identified for the aims and scope of services. Finally, cancer care centers should strive to ensure the delivery of high-quality psychosocial oncology care across all components of care. A range of practices was ranked by their potential contributions to achieving that goal.
This framework may aid in planning, evaluating, and refining the delivery of responsive psychosocial oncology services.
虽然在肿瘤学中筛查心理社会困扰现在是标准的护理方法,但对于如何根据已确定的需求最好地提供服务,几乎没有指导。美国心理肿瘤学会(APOS)召集了一个工作组,其目标是创建一个框架,以帮助规划服务并为资源请求提供依据。
该工作组由来自心理肿瘤学多个学科的 10 名专家组成,他们首先共同参加了为期 2 天的大型会议,以确定议程,然后再以较小的团队合作来执行目标。工作组使用共识方法制定建议。
该框架确定了三个原则。首先,心理肿瘤学是人群健康的关键组成部分,需要采用基于人群的护理提供方法。其次,有几个关键参数影响心理肿瘤学服务:资源、目的和范围。为了指导资源分配,确定了服务目标和范围的优先事项示例。最后,癌症护理中心应努力确保在所有护理环节提供高质量的心理肿瘤学护理。对各种实践进行了评估,以确定它们对实现这一目标的潜在贡献。
该框架可用于规划、评估和完善响应性心理肿瘤学服务的提供。