Unisanté, University Centre of General Medicine and Public Health, University of Lausanne, Lausanne, Switzerland.
Lausanne University Hospital (CHUV), Lausanne, Switzerland.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720957455. doi: 10.1177/2150132720957455.
Transitions in care are key junctions during which care coordination, communication, and individualized support are required to ensure optimal health outcomes for patients. This is particularly true for patients who face social disparities, such as poverty, limited health literacy, or belonging to a racial or ethnic minority, who are particularly at risk for experiencing poor care transitions. Interdisciplinary primary care-led transition clinics are an intervention that have shown promise in improving care transitions for diverse patient populations, including those that face social disparities, but their role in improving transitions in cancer care remains largely untapped. In this commentary we highlight why the time-limited support of an interdisciplinary primary care-led transition clinic that targets socially vulnerable cancer patients holds the promise of achieving more equitable healthcare access, healthcare quality, and ultimately more equitable health outcomes for cancer patients.
医疗护理交接是关键节点,在此期间需要协调护理、沟通并提供个性化支持,以确保患者获得最佳健康结果。对于面临社会不平等问题(如贫困、有限健康素养或属于少数族裔)的患者来说,这一点尤为重要,因为他们特别容易出现医疗护理交接不良的情况。以多学科初级保健为主导的交接门诊是一种干预措施,已被证明可以改善不同患者群体的医疗护理交接,包括那些面临社会不平等问题的患者,但它在改善癌症患者医疗护理交接方面的作用在很大程度上尚未得到开发。在本篇述评中,我们强调了为什么以社会弱势群体癌症患者为目标的、由多学科初级保健主导的限时交接门诊能够提供更公平的医疗保健机会、更高的医疗保健质量,并最终为癌症患者带来更公平的健康结果。