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为缩小儿童癌症幸存者专科医疗与初级保健之间的差距,实施逐步教育方法。

Implementing a stepwise educational approach for bridging the gap between specialty and primary care for childhood cancer survivors.

机构信息

Division of Hematology/Oncology/Bone Marrow Transplant, Children's Mercy, University of Missouri Kansas City School of Medicine, Kansas City, MO, 64108, USA.

Division of Hematology/Oncology/Bone Marrow Transplant, Children's Mercy, Kansas City, MO, 64108, USA.

出版信息

J Cancer Surviv. 2020 Oct;14(5):660-665. doi: 10.1007/s11764-020-00878-8. Epub 2020 May 11.

DOI:10.1007/s11764-020-00878-8
PMID:32394044
Abstract

PURPOSE

To create a community of learning involving primary care providers and subspecialist to enhance providers' knowledge regarding care of adult childhood cancer survivors (CCS).

METHODS

A stepwise approach was used to develop educational opportunities for providers. This process started with a local/regional in-person conference, which informed a webinar series, and resulted in the development of enduring material using a dynamic learning management system.

RESULTS

Participants in all three learning platforms had an increase in knowledge from baseline regarding care for adult CCS. Majority of participants at the in-person conference and webinar series were oncology or other specialty providers. The enduring dynamic learning management system successfully reached a variety of providers and other allied health providers across the country. There was a slightly higher rate of participation on this platform by primary care providers of 12.5%.

CONCLUSIONS

Care providers' knowledge of survivorship needs of adult CCS can be increased by multiple forms of instruction. However, the dynamic learning management system was most successful at reaching a broad audience. Advertisement through local and national organizations was not as successful as anticipated. Additional strategies are needed to successfully engage providers, specifically primary care providers (PCPs).

IMPLICATIONS FOR CANCER SURVIVORS

The professional development needs of primary care providers regarding care of adult CCS is well recognized. A dynamic learning management system may represent the most convenient and accessible way to provide education, but new strategies for increasing providers' awareness and engagement are required. The goal of improving care of adult CCS requires increased providers knowledge.

摘要

目的

创建一个由初级保健提供者和亚专科医生参与的学习社区,以增强提供者对成年癌症幸存者(CCS)护理的知识。

方法

采用逐步方法为提供者提供教育机会。该过程从本地/区域现场会议开始,该会议为网络研讨会系列提供了信息,并通过动态学习管理系统开发了持久的材料。

结果

所有三个学习平台的参与者在关于成年 CCS 护理的知识方面都比基线有所增加。现场会议和网络研讨会系列的大多数参与者都是肿瘤学或其他专业提供者。持久的动态学习管理系统成功地覆盖了全国各地的各种提供者和其他联合健康提供者。该平台的初级保健提供者的参与率略高,为 12.5%。

结论

通过多种形式的指导,可以提高护理提供者对成年 CCS 生存需求的了解。然而,动态学习管理系统在覆盖广泛的受众方面最为成功。通过本地和国家组织的宣传并没有预期的那么成功。需要采取额外的策略来成功吸引提供者,特别是初级保健提供者(PCP)。

对癌症幸存者的影响

初级保健提供者在照顾成年 CCS 方面的专业发展需求得到了充分认识。动态学习管理系统可能是提供教育的最方便和最便捷的方式,但需要新的策略来提高提供者的意识和参与度。提高成年 CCS 护理质量的目标需要增加提供者的知识。

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