精准医学时代的个体化癌症护理。

Personalised cancer care in the era of precision medicine.

机构信息

BMBS, MBioethics, FRACP, Professor of Cancer Medicine, Flinders University, SA; Senior Staff Specialist, Department of Medical Oncology, Flinders Medical Centre, SA.

BSc, MBBS (Hons), PhD, FRACGP, Specialist General Practitioner, Sydney, NSW; Research Fellow, Behavioural Sciences Unit, Faculty of Medicine, University of New South Wales, Sydney, NSW; Kids Cancer Centre, Sydney Children@s Hospital, Randwick, NSW.

出版信息

Aust J Gen Pract. 2021 Aug;50(8):533-537. doi: 10.31128/AJGP-04-21-5953.

DOI:10.31128/AJGP-04-21-5953

PMID:34333558

Abstract

BACKGROUND

Advances in cancer treatment have not benefited all patients equally, underscoring the need for a personalised approach to care.

OBJECTIVE

The aim of this article is to outline the key elements of personalised cancer care, including delivery of goal-directed care, self-management and self-management support, care integration, focus on access and equity, reduction in cost and promotion of health literacy and e-health literacy.

DISCUSSION

Achievement of personalised cancer care requires a system-wide approach that targets the patient, healthcare provider and healthcare system with data informing practice. Primary care providers, including general practitioners (GPs) and practice nurses, play an important and growing part in the provision of personalised cancer care through support, advocacy, coordination, holistic care and health promotion. Cancer care systems can facilitate GPs' involvement in care through early input into multidisciplinary management, timely communication, rapid access to acute care and training opportunities.

摘要

背景

癌症治疗的进步并没有使所有患者平等受益，这突显了需要采取个性化的护理方法。

目的

本文旨在概述个性化癌症护理的关键要素，包括提供以目标为导向的护理、自我管理和自我管理支持、护理整合、关注可及性和平等、降低成本以及促进健康素养和电子健康素养。

讨论

实现个性化癌症护理需要采取系统的方法，针对患者、医疗保健提供者和医疗保健系统，以数据为依据指导实践。初级保健提供者，包括全科医生（GP）和执业护士，通过支持、倡导、协调、全面护理和健康促进，在提供个性化癌症护理方面发挥着重要且日益增长的作用。癌症护理系统可以通过早期参与多学科管理、及时沟通、快速获得急性护理和培训机会，促进 GP 参与护理。