Division of Hematology/Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ.
Oncoclínicas&Co-Medica Scientia Innovation Research (MEDSIR), Sao Paulo, Brazil and Jersey City, NJ.
Am Soc Clin Oncol Educ Book. 2024 Jun;44(3):e100047. doi: 10.1200/EDBK_100047.
The integration of palliative care into routine oncology practice is the standard of care by most leading cancer organizations. Palliative medicine helps to deliver higher quality of care at a lower cost. However, there are barriers to implementing palliative oncology at many institutions for myriad reasons. In this article, we discuss an innovative strategy that ASCO implemented called the Communities of Practice (CoP). We share our experiences as the Palliative Care CoP and how our group seeks to develop processes and structures to collectively promote systemic change and enhance palliative care delivery for people with cancer. Our Palliative Care CoP engages with senior leaders, administrators, and those in power to achieve a shared vision of delivering holistic health care for people with serious illness. We continue to evolve to meet our members' growing needs by addressing eight main domains: (1) increasing palliative care education and resources; (2) creating opportunities for global palliative care research; (3) providing peer mentorship and community building; (4) engaging with patient advocates; (5) supporting and developing interdisciplinary teams; (6) assisting with professional development and identity formation, especially for trainees and early career faculty; (7) extending our outreach through social media; and (8) enhancing the clinical practice of palliative oncology. The ASCO CoP has been a vital forum to realize ASCO's mission of conquering cancer and advancing the Art and Science of Cancer Care: From Comfort to Cure.
姑息治疗与常规肿瘤学实践相结合是大多数领先癌症组织的护理标准。姑息医学有助于以更低的成本提供更高质量的护理。然而,由于众多原因,许多机构在实施姑息肿瘤学方面存在障碍。在本文中,我们讨论了 ASCO 实施的一种创新策略,称为实践社区 (CoP)。我们分享了我们作为姑息治疗 CoP 的经验,以及我们的团队如何寻求开发流程和结构,以集体促进系统变革并增强癌症患者的姑息治疗服务。我们的姑息治疗 CoP 与高级领导、管理人员和当权者合作,为患有严重疾病的人实现提供整体健康护理的共同愿景。我们继续发展,通过解决以下八个主要领域来满足成员不断增长的需求:(1)增加姑息治疗教育和资源;(2)为全球姑息治疗研究创造机会;(3)提供同行指导和社区建设;(4)与患者倡导者合作;(5)支持和发展跨学科团队;(6)为学员和早期职业教师提供专业发展和身份认同支持;(7)通过社交媒体扩大我们的影响力;(8)增强姑息肿瘤学的临床实践。ASCO CoP 一直是一个重要的论坛,可以实现 ASCO 的使命,即战胜癌症,推进癌症护理的艺术和科学:从舒适到治愈。