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肿瘤不再是唯一的目标:在精准医学时代确保公平的以患者为中心的支持性护理。

Tumor Is Not the Only Target: Ensuring Equitable Person-Centered Supportive Care in the Era of Precision Medicine.

机构信息

Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.

出版信息

Am Soc Clin Oncol Educ Book. 2024 Jun;44(3):e434026. doi: 10.1200/EDBK_434026.

Abstract

Communication in oncology has always been challenging. The new era of precision oncology creates prognostic uncertainty. Still, person-centered care requires attention to people and their care needs. Living with cancer portends an experience that is life-altering, no matter what the outcome. Supporting patients and families through this unique experience requires careful attention, honed skills, an understanding of process and balance measures of innovation, and recognizing that supportive care is a foundational element of cancer medicine, rather than an either-or approach, an and-with approach that emphasizes the regular integration of palliative care (PC), geriatric oncology, and skilled communication.

摘要

肿瘤学领域的交流一直以来都极具挑战性。精准肿瘤学的新时代带来了预后的不确定性。然而,以患者为中心的护理需要关注患者及其护理需求。无论结果如何,癌症的存在都会改变一个人的生活。通过这种独特的体验来支持患者及其家属需要精心关注、精湛的技能、对流程的理解以及平衡创新措施,并认识到支持性护理是癌症医学的一个基础要素,而不是非此即彼的方法,一种强调常规整合姑息治疗(PC)、老年肿瘤学和熟练沟通的方法。

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