Villegas Eulalia, Arruñada María, Casado Miguel Ángel, González Sonia, Moreno-Martínez María Estela, Peñuelas María Ángeles, Torres Ana Maria, Sierra Yanik, Seguí Miguel Angel
Dos de Maig Hospital, Barcelona, Spain.
Pharmacoeconomics & Outcomes Research Iberia (PORIB), Madrid, Spain.
Front Oncol. 2024 Feb 16;14:1335344. doi: 10.3389/fonc.2024.1335344. eCollection 2024.
The diagnosis and treatment of cancer impose a significant emotional and psychological burden on patients, families, and caregivers. Patients undergo several interventions in a hospital setting, and the increasing number of patients requiring extended care and follow-up is driving the demand for additional clinical resources to address their needs. Hospital at Home (HaH) teams have introduced home-administered oncologic therapies that represent a new model of patient-centered cancer care. This approach can be integrated with traditional models and offers benefits to both patients and healthcare professionals (HCPs). Home-administered treatment programs have been successfully piloted globally, demonstrated as a preferred option for most patients and a safe alternative that could reduce costs and hospital burden. The document aims to establish the minimum recommendations for the home administration of oncologic therapies (ODAH) based on a national expert agreement. The expert panel comprised seven leading members from diverse Spanish societies and three working areas: clinical and healthcare issues, logistical and administrative issues, and economic, social, and legal issues. The recommendations outlined in this article were obtained after a comprehensive literature review and thorough discussions. This document may serve as a basis for the future development of home-administered oncologic therapy programs in Spain. .
癌症的诊断和治疗给患者、家庭及护理人员带来了巨大的情感和心理负担。患者在医院环境中要接受多种治疗，而需要长期护理和随访的患者数量不断增加，这推动了对额外临床资源的需求，以满足他们的需求。居家医院（HaH）团队引入了居家肿瘤治疗方法，这代表了一种以患者为中心的癌症护理新模式。这种方法可以与传统模式相结合，对患者和医疗保健专业人员（HCPs）都有好处。居家治疗项目已在全球成功试点，被证明是大多数患者的首选方案，也是一种可以降低成本和医院负担的安全替代方案。该文件旨在根据国家专家共识确定肿瘤治疗居家管理（ODAH）的最低建议。专家小组由来自西班牙不同协会的七名主要成员组成，涉及三个工作领域：临床和医疗问题、后勤和行政问题以及经济、社会和法律问题。本文概述的建议是在全面的文献综述和深入讨论后得出的。本文件可作为西班牙未来居家肿瘤治疗项目发展的基础。
