Keen Carol, Phillips Gail, Thelwell Michael, Humphreys Liam, Evans Laura, Copeland Rob
Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S9 3TY, UK.
Advanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield S9 3TU, UK.
Healthcare (Basel). 2023 Nov 21;11(23):3007. doi: 10.3390/healthcare11233007.
Prehabilitation and rehabilitation will be essential services in an ageing population to support patients with cancer to live well through their life spans. Active Together is a novel evidence-based service embedded within existing healthcare pathways in an innovative collaboration between health, academic, and charity organisations. Designed to improve outcomes for cancer patients and reduce the demand on healthcare resources, it offers physical, nutritional, and psychological prehabilitation and rehabilitation support to patients undergoing cancer treatment. The service is underpinned by behaviour change theories and an individualised and personalised approach to care, addressing the health inequalities that might come about through age, poverty, ethnicity, or culture. Meeting the challenge of delivering high-quality services across multiple stakeholders, while addressing the complexity of patient need, has required skilled leadership, flexibility, and innovation. To support patients equally, regardless of geography or demographics, future services will need to be scaled regionally and be available in locations amenable to the populations they serve. To deliver these services across wide geographic regions, involving multiple providers and complex patient pathways, will require a systems approach. This means embracing and addressing the complexity of the contexts within which these services are delivered, to ensure efficient, high-quality provision of care, while supporting staff well-being and meeting the needs of patients.
在老龄化人口中，术前康复和康复将成为重要服务，以支持癌症患者在其生命周期中过上良好生活。“共同行动”是一项新颖的循证服务，通过健康、学术和慈善组织之间的创新合作，融入现有的医疗保健路径。该服务旨在改善癌症患者的治疗效果并减少对医疗资源的需求，为接受癌症治疗的患者提供身体、营养和心理方面的术前康复和康复支持。该服务以行为改变理论以及个性化和定制化的护理方法为基础，解决可能因年龄、贫困、种族或文化而产生的健康不平等问题。应对跨多个利益相关者提供高质量服务的挑战，同时解决患者需求的复杂性，需要有技能的领导、灵活性和创新。为了平等地支持患者，无论其地理位置或人口统计学特征如何，未来的服务需要在区域范围内扩大规模，并在适合其服务人群的地点提供。要在广泛的地理区域提供这些服务，涉及多个提供者和复杂的患者路径，将需要一种系统方法。这意味着要接受并应对提供这些服务的背景的复杂性，以确保高效、高质量地提供护理，同时支持工作人员的福祉并满足患者的需求。
