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肿瘤话题:关于肿瘤病例讨论会沟通情况的描述性研究

Tumor talk: A descriptive study of communication about tumor board meetings.

作者信息

Tullis Jillian A

机构信息

Department of Communication, University of San Diego, CA, USA.

出版信息

Qual Res Med Healthc. 2022 Oct 4;6(2):10717. doi: 10.4081/qrmh.2022.10717.

DOI:10.4081/qrmh.2022.10717
PMID:37440772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10336866/
Abstract

Tumor board meetings are behind-the-scenes settings where communication about health and strategizing about healthcare delivery take place. Despite their wide use in hospitals and cancer centers, there is a dearth of information about the communication practices in this context. Drawing upon six weeks of observations, this study investigated communication during tumor board meetings at a tertiary cancer center in the Southeastern United States. Findings revealed differences in communication among cancer specialties, with one tumor board consistently talking about the medical and non-medical elements of patient cases, while other specialties focused primarily on plans for treatment with little discussion about quality of life, economic, or caregiver support issues. The manuscript includes suggestions for modifying tumor conferences and opportunities for future research.

摘要

肿瘤病例讨论会是医院内部进行健康状况交流以及制定医疗服务策略的幕后场所。尽管在医院和癌症中心被广泛应用,但关于这一背景下的交流实践的信息却十分匮乏。基于为期六周的观察,本研究调查了美国东南部一家三级癌症中心肿瘤病例讨论会上的交流情况。研究结果揭示了癌症各专科之间交流方式的差异,其中一个肿瘤病例讨论会持续讨论患者病例的医疗和非医疗因素,而其他专科主要关注治疗方案,很少讨论生活质量、经济或护理人员支持等问题。本文还包括了改进肿瘤病例讨论会的建议以及未来研究的方向。

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Levine Cancer Institute Financial Toxicity Tumor Board: A Potential Solution to an Emerging Problem.莱文癌症研究所财务毒性肿瘤委员会:解决新出现问题的一种潜在方法。
JCO Oncol Pract. 2021 Oct;17(10):e1433-e1439. doi: 10.1200/OP.21.00124. Epub 2021 Jun 8.
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The impact of tumor board on cancer care: evidence from an umbrella review.肿瘤委员会对癌症治疗的影响:来自伞式评价的证据。
BMC Health Serv Res. 2020 Jan 31;20(1):73. doi: 10.1186/s12913-020-4930-3.
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Development of a virtual multidisciplinary lung cancer tumor board in a community setting.开发一个社区环境下的虚拟多学科肺癌肿瘤委员会。
J Oncol Pract. 2013 May;9(3):e77-80. doi: 10.1200/JOP.2013.000882.
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Tumor boards (team huddles) aren't enough to reach the goal.肿瘤多学科会诊(团队碰头会)不足以实现目标。
J Natl Cancer Inst. 2013 Jan 16;105(2):82-4. doi: 10.1093/jnci/djs523. Epub 2012 Dec 28.
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Tumor boards and the quality of cancer care.肿瘤委员会与癌症护理质量。
J Natl Cancer Inst. 2013 Jan 16;105(2):113-21. doi: 10.1093/jnci/djs502. Epub 2012 Dec 28.
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Family caregiver participation in hospice interdisciplinary team meetings: how does it affect the nature and content of communication?家庭护理人员参与临终关怀多学科团队会议:这如何影响沟通的性质和内容?
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Confusing categories and themes.令人困惑的类别和主题。
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