门诊肿瘤学：应对 COVID-19 大流行的基础设施发展。
Ambulatory Oncology: Infrastructure Development in Response to the COVID-19 Pandemic.
机构信息
Baptist Health.
Northwestern Medicine Delnor Cancer Center.
出版信息
Clin J Oncol Nurs. 2021 Feb 1;25(1):41-47. doi: 10.1188/21.CJON.41-47.
BACKGROUND
The COVID-19 pandemic generated challenges to the delivery of safe, efficient, and high-quality cancer care. In ambulatory oncology, where most cancer care is delivered, these challenges required the rapid development of infrastructure.
OBJECTIVES
This article describes challenges to the design and implementation of ambulatory oncology infrastructures that support clinical oncology care during a pandemic.
METHODS
This article reviews clinical experiences in interprofessional, multicenter, academic, and community settings during the COVID-19 pandemic. Cohesive and efficient services, collaborative processes, and workflows; patient triage and symptom management; technology and equipment; and communication strategies are discussed. National ambulatory care guidelines and practice recommendations are included as applicable and available.
FINDINGS
Continued treatment delivery and support for patients with cancer, as well as infrastructure to minimize viral exposure to patients and oncology healthcare workers, are essential when caring for this high-risk population.
背景
COVID-19 大流行给安全、高效和高质量癌症护理的提供带来了挑战。在大多数癌症护理都在进行的门诊肿瘤学领域，这些挑战需要快速发展基础设施。
目的
本文描述了在大流行期间支持临床肿瘤学护理的门诊肿瘤学基础设施的设计和实施所面临的挑战。
方法
本文回顾了 COVID-19 大流行期间在跨专业、多中心、学术和社区环境中的临床经验。讨论了凝聚力和高效率的服务、协作流程和工作流程、患者分诊和症状管理、技术和设备以及沟通策略。还包括了国家门诊护理指南和实践建议，只要适用且可用，就会包括在内。
结果
在照顾这个高风险人群时，为癌症患者提供持续的治疗和支持，以及基础设施以最大程度地减少病毒暴露给患者和肿瘤学医护人员，这是至关重要的。
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