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仍处于转型之中?综合癌症控制项目、癌症幸存者和医疗保健提供者对持续癌症生存者护理需求的观点。

Still Lost in Transition? Perspectives of Ongoing Cancer Survivorship Care Needs from Comprehensive Cancer Control Programs, Survivors, and Health Care Providers.

机构信息

Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E., MS-F76, Atlanta, GA 30333, USA.

出版信息

Int J Environ Res Public Health. 2022 Mar 4;19(5):3037. doi: 10.3390/ijerph19053037.

Abstract

Public health agencies have played a critical role in addressing the complex health and mental health needs of cancer survivors. We conducted a mixed-methods evaluation via a Web-based survey ( = 51) and focus groups ( = 11) with National Comprehensive Cancer Control Program (NCCCP) recipients and interviews ( = 9) with survivors, health care providers (HCPs), and patient navigators to explore these audiences' cancer survivorship information needs and strategies to improve resource dissemination. Participants revealed a need for tailored resources and support for survivors on healthy lifestyle, post-treatment survivorship concerns, psychosocial health, and navigating the health system. HCP needs included education on survivorship care plans and care coordination to facilitate the transition between oncology and primary care. HCPs were survivors' most trusted source for information; however, participants noted difficulties engaging HCPs in survivorship care. These findings can help public health practitioners focus their efforts to better meet the needs of cancer survivors and their HCPs.

摘要

公共卫生机构在解决癌症幸存者复杂的健康和心理健康需求方面发挥了关键作用。我们通过网络调查(=51)和焦点小组(=11)对国家综合癌症控制计划(NCCCP)的接受者进行了混合方法评估,并对幸存者、医疗保健提供者(HCP)和患者导航员进行了访谈(=9),以探讨这些受众的癌症生存信息需求以及改善资源传播的策略。参与者揭示了对幸存者健康生活方式、治疗后生存问题、心理健康和医疗系统导航的定制资源和支持的需求。HCP 的需求包括生存护理计划和护理协调方面的教育,以促进肿瘤学和初级保健之间的过渡。HCP 是幸存者最信任的信息来源;然而,参与者指出,让 HCP 参与生存护理存在困难。这些发现可以帮助公共卫生从业者集中精力更好地满足癌症幸存者及其 HCP 的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b04/8910165/b9d048f58204/ijerph-19-03037-g001.jpg

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