Bärlund Maarit, Takala Laura, Tianen Leena, Kellokumpu-Lehtinen Pirkko-Liisa
Department of Oncology, Tays Cancer Center, Tampere University Hospital and Faculty of Medicine and Health Technology, Tampere, FI-33521 Tampere, Finland; Departrment of Medicine and Health Technology, University of Tampere, Tampere, Finland, FI-33101 University of Tampere.
Departrment of Medicine and Health Technology, University of Tampere, Tampere, Finland, FI-33101 University of Tampere.
Clin Breast Cancer. 2022 Apr;22(3):261-268. doi: 10.1016/j.clbc.2021.09.005. Epub 2021 Sep 20.
BACKGROUND: The growing number of new breast cancer (BC) patients has indicated an urgent need for better tools to monitor patients. Due to the increasing number of unscheduled patient calls, two digital applications were implemented: a callback application (CA) and a digital cancer follow-up application (CFUA). The aim of this study was to evaluate the implementation and added value of digital applications for healthcare professionals in monitoring BC patients from 2012 to 2020. MATERIALS AND METHODS: As of the end of 2020, 1420 follow-up BC patients were enrolled in the CFUA, which covered 70% of the BC patients in the follow-up phase in the clinic. All unscheduled telephone calls and digital contacts were recorded from January 2015 to December 2020. RESULTS: The implementation of the CA revealed low telephone accessibility (56%), which was improved by 55% by the end of 2020 due to the implementation of the CFUA. In 2019, 59% of all phone service contacts were digitally prepared, and contact reasons were classified by the patients. One of the most important findings was that BC patient contacts more than tripled during the nine-year study period, and these patients could be treated by the same number of nurses due to the implementation of the CA and CFUA. Feedback from two nurses' surveys favored the use of the CFUA. CONCLUSION: Our study clearly demonstrates that new digital tools are useful in the challenge of a growing number of BC patients in surveillance who should be handled with limited health care resources.
背景：新确诊乳腺癌（BC）患者数量不断增加，这表明迫切需要更好的工具来监测患者。由于非预约患者来电数量不断增加，实施了两个数字应用程序：一个回调应用程序（CA）和一个数字癌症随访应用程序（CFUA）。本研究的目的是评估2012年至2020年期间数字应用程序对医疗保健专业人员监测BC患者的实施情况和附加价值。 材料与方法：截至2020年底，1420名BC随访患者被纳入CFUA，该应用程序覆盖了诊所随访阶段70%的BC患者。记录了2015年1月至2020年12月期间所有非预约电话和数字联系。 结果：CA的实施显示电话接通率较低（56%），由于CFUA的实施，到2020年底这一比例提高了55%。2019年，所有电话服务联系中有59%进行了数字化准备，联系原因由患者分类。最重要的发现之一是，在九年的研究期间，BC患者的联系增加了两倍多，由于CA和CFUA的实施，这些患者可以由相同数量的护士进行治疗。两项护士调查的反馈支持使用CFUA。 结论：我们的研究清楚地表明新的数字工具在应对监测中BC患者数量不断增加且医疗资源有限的挑战方面是有用的。
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