Tullis Jillian A
Department of Communication, University of San Diego, CA, USA.
Qual Res Med Healthc. 2022 Oct 4;6(2):10717. doi: 10.4081/qrmh.2022.10717.
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.
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。