利用“医疗监测器”在头颈部肿瘤学中成功实施常规症状监测的关键以及患者对医疗质量的看法。

Keys to successful implementation of routine symptom monitoring in head and neck oncology with "Healthcare Monitor" and patients' perspectives of quality of care.

作者信息

Dronkers Emilie A C, Baatenburg de Jong Robert J, van der Poel Egge F, Sewnaik Aniel, Offerman Marinella P J

机构信息

Department of Otorhinolaryngology and Head and Neck Oncology, Erasmus University Medical Center Cancer Institute, Rotterdam, The Netherlands.

出版信息

Head Neck. 2020 Dec;42(12):3590-3600. doi: 10.1002/hed.26425. Epub 2020 Aug 18.

DOI:10.1002/hed.26425

PMID:32808370

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7754276/

Abstract

BACKGROUND

Value-based health care is increasingly used to facilitate a systematic approach during follow-up of patients. We developed Healthcare Monitor (HM): a structure of electronic patient-reported outcome measures (ePROs) for the longitudinal follow-up of head and neck cancer (HNC) patients. This study shares key lessons from implementation and seeks to provide insight into how patients experience HM.

METHODS

We conducted a mixed-methods study using quantitative data from a nonrandomized retrospective survey of patients who received HM (n = 45) vs standard care (n = 46) and qualitative data from structured interviews (n = 15).

RESULTS

Implementation of HM included significant challenges. Finding common ground among clinicians, administrators, and IT staff was most important. Qualitative findings suggest that patients experienced better doctor-patient communication and increased efficiency of the consultation using HM. Patients felt better prepared and experienced more focus on critical issues. Quantitative analysis did not show significant differences.

CONCLUSIONS

Integration of HM into routine care for HNC patients may have increased patient-centered care and facilitated screening of symptoms. However, future research is needed to analyze the potential benefits more extensively.

摘要