Nash Tegan, Lisy Karolina, Laing Erin, Kelly Helana, Cridland Kate, Jefford Michael
Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett Street, Melbourne, VIC, 8006, Australia.
Centre for Health Services Research, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
J Cancer Surviv. 2024 Dec 12. doi: 10.1007/s11764-024-01728-7.
Comprehensive survivorship care involves cancer surveillance, management of post-treatment effects, health promotion and coordination between care sectors. This study aimed to understand current survivorship practices, build awareness and support improved survivorship care in Victoria, Australia.
This project had three components: (1) a survey of 20 Victorian clinical sites, assessing elements described in the Victorian Quality Cancer Survivorship Framework; (2) educational webinars for oncology health professionals, to increase survivorship knowledge and awareness; (3) implementation of targeted survivorship care quality initiatives in a sample of health services. Survey, evaluation and outcome data were reported descriptively.
All sites responded to the survey (3 hospitals have a common operating model hence supplied a single response). Most (11/18, 60%) rated their survivorship care as 'developing' and did not have a clear survivorship care policy (13/18, 72%). The provision of post-treatment information was inconsistent, as was the assessment for needs. Most sites do not stratify survivors (< 25% of survivors received stratified care at 13/18 sites, 72%), provide survivorship care plans (< 25% survivors received SCP at 8/18 sites, 44%) and collect limited outcome data. Webinars were well received, with 98% of health professionals reporting improved knowledge and awareness. All seven sites valued targeted implementation support to improve aspects of survivorship care.
Current Victorian survivorship care appears suboptimal. There was good health professional engagement with educational webinars and with improvement activities.
Results have informed survivorship improvement work, focusing on implementing policy, improving aspects of care delivery and building capability across the state.
全面的癌症生存护理包括癌症监测、治疗后效应管理、健康促进以及各护理部门之间的协调。本研究旨在了解澳大利亚维多利亚州当前的癌症生存护理实践情况，提高认识并支持改善癌症生存护理。
该项目包含三个部分：（1）对维多利亚州20个临床机构进行调查，评估《维多利亚州癌症生存护理质量框架》中描述的各项要素；（2）为肿瘤健康专业人员举办教育网络研讨会，以增加癌症生存护理知识和认识；（3）在部分医疗服务机构实施针对性的癌症生存护理质量改进举措。调查、评估和结果数据以描述性方式呈现。
所有机构都回复了调查（3家医院采用共同运营模式，因此提供了一份回复）。大多数机构（11/18，60%）将其癌症生存护理评定为“发展中”，且没有明确的癌症生存护理政策（13/18，72%）。治疗后信息的提供不一致，需求评估也是如此。大多数机构不对幸存者进行分层（13/18个机构中，不到25%的幸存者接受分层护理，72%），不提供癌症生存护理计划（8/18个机构中，不到25%的幸存者接受癌症生存护理计划，44%），且收集的结果数据有限。网络研讨会受到好评，98%的健康专业人员表示知识和认识有所提高。所有7个机构都重视针对性的实施支持，以改善癌症生存护理的各个方面。
维多利亚州目前的癌症生存护理似乎未达最佳水平。健康专业人员积极参与了教育网络研讨会和改进活动。
研究结果为癌症生存护理改善工作提供了信息，重点在于实施政策、改善护理提供的各个方面以及提升全州的能力。
