Dartmouth Cancer Center, 1 Medical Center Drive, Lebanon, NH 03765, USA.
Queen's University, Kingston, Canada.
Hematol Oncol Clin North Am. 2024 Feb;38(1):229-238. doi: 10.1016/j.hoc.2023.06.010. Epub 2023 Jul 27.
Although current value frameworks and economic models have allowed us to better quantify the net benefit associated with cancer therapy, holistic cancer care must consider patient time, family and social values, and overall life expectancy. Training programs must include training in health services research, difficult conversations, and shared decision-making strategies that are developed in social and cultural frameworks for their settings.
尽管当前的价值框架和经济模型使我们能够更好地量化与癌症治疗相关的净收益,但整体癌症护理必须考虑患者时间、家庭和社会价值观以及总体预期寿命。培训计划必须包括卫生服务研究、困难对话以及在其所处的社会和文化框架中制定的共享决策策略方面的培训。