长期癌症幸存者的未来护理：迈向新模式。
Future care for long-term cancer survivors: towards a new model.
机构信息
Medical Oncology Department, Spanish Lung Cancer Group (GECP), Hospital Universitario Puerta de Hierro Majadahonda, Calle Manuel de Falla 1Majadahonda, 28222, Madrid, Spain.
Cardiology and Cardiac Surgery Clinical Management Unit, Hospital Virgen del Rocio, Sevilla, Spain.
出版信息
Clin Transl Oncol. 2022 Feb;24(2):350-362. doi: 10.1007/s12094-021-02696-5. Epub 2021 Oct 29.
PURPOSE
The increase in the prevalence "long-term cancer survivor" (LCS) patients is expected to increase the cost of LCS care. The aim of this study was to obtain information that would allow to optimise the current model of health management in Spain to adapt it to one of efficient LCS patient care.
METHODS
This qualitative study was carried out using Delphi methodology. An advisory committee defined the criteria for participation, select the panel of experts, prepare the questionnaire, interpret the results and draft the final report.
RESULTS
232 people took part in the study (48 oncologists). Absolute consensus was reached in three of the proposed sections: oncological epidemiology, training of health professionals and ICT functions.
CONCLUSION
The role of primary care in the clinical management of LCS patients needs to be upgraded, coordination with the oncologist and hospital care is essential. The funding model needs to be adapted to determine the funding conditions for new drugs and technologies.
目的
“长期癌症幸存者”（LCS）患者的患病率预计会增加，这将增加 LCS 护理的成本。本研究旨在获取相关信息，以优化西班牙当前的健康管理模式，使其适应高效的 LCS 患者护理模式。
方法
本研究采用德尔菲法进行定性研究。一个顾问委员会确定了参与标准、选择专家小组、准备问卷、解释结果和起草最终报告。
结果
共有 232 人（48 名肿瘤学家）参加了这项研究。在提出的三个部分中达成了绝对共识：肿瘤流行病学、卫生专业人员培训和信息通信技术功能。
结论
初级保健在 LCS 患者的临床管理中的作用需要升级，与肿瘤医生和医院护理的协调至关重要。需要调整资金模式，以确定新药和技术的资金条件。
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