Kersen Jaling, Kurbatfinski Stefan, Thomas Abigail, Ibadin Seremi, Hezam Areej, Lorenzetti Diane, Chandarana Shamir, Dort Joseph C, Sauro Khara M
Department Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Department of Surgery, Community Health Sciences, and Oncology, Cumming School of Medicine, University of Calagary, Calgary, Alberta, Canada.
BMJ Open. 2024 Dec 12;14(12):e078210. doi: 10.1136/bmjopen-2023-078210.
Patients with cancer experience many Transitions in Care (TiC), occurring when a patient's care transfers between healthcare providers or institutions/settings. Among other patient populations, TiC are associated with medical errors, patient dissatisfaction and elevated healthcare use and expenditure. However, our understanding of TiC among patients with cancer is lacking.
To map and characterise evidence about TiC among patients with cancer.
Adult patients with cancer at any stage in the cancer continuum.
Evidence sources exploring TiC among patients with cancer were eligible.
Evidence sources exploring TiC among patients with cancer using any outcome were eligible.
Any setting where a patient with cancer received care.
This scoping review included any study describing TiC among patients with cancer with no restrictions on study design, publication type, publication date or language. Evidence sources, identified by searching six databases using search terms for the population and TiC, were included if they described TiC. Two independent reviewers screened titles/abstracts and full texts for eligibility and completed data abstraction. Quantitative data were summarised using descriptive statistics and qualitative data were synthesised using thematic analysis.
This scoping review identified 801 evidence sources examining TiC among patients with cancer. Most evidence sources focused on the TiC between diagnosis and treatment and breast or colorectal cancer. Six themes emerged from the qualitative evidence sources: the transfer of information, emotional impacts of TiC, continuity of care, patient-related factors, healthcare provider-related factors and healthcare system-related factors. Interventions intended to improve TiC among patients with cancer were developed, implemented or reviewed in 163 evidence sources.
While there is a large body of research related to TiC among patients with cancer, there remains a gap in our understanding of several TiC and certain types of cancer, suggesting the need for additional evidence exploring these areas.
癌症患者会经历许多医疗护理转接（TiC）情况，即患者的护理在医疗服务提供者或机构/场所之间进行转移时发生。在其他患者群体中，医疗护理转接与医疗差错、患者不满以及医疗保健使用和支出增加有关。然而，我们对癌症患者的医疗护理转接情况了解不足。
梳理并描述有关癌症患者医疗护理转接的证据。
处于癌症连续统一体任何阶段的成年癌症患者。
探索癌症患者医疗护理转接情况的证据来源均符合要求。
探索癌症患者医疗护理转接情况并采用任何结果指标的证据来源均符合要求。
癌症患者接受护理的任何场所。
本综述性研究纳入了任何描述癌症患者医疗护理转接情况的研究，对研究设计、出版物类型、出版日期或语言均无限制。通过使用针对研究人群和医疗护理转接的检索词搜索六个数据库确定的证据来源，若描述了医疗护理转接情况则予以纳入。两名独立评审员筛选标题/摘要和全文以确定是否符合纳入标准，并完成数据提取。定量数据使用描述性统计进行汇总，定性数据使用主题分析进行综合。
本综述性研究确定了801个研究癌症患者医疗护理转接情况的证据来源。大多数证据来源聚焦于诊断与治疗之间的医疗护理转接以及乳腺癌或结直肠癌。定性证据来源中出现了六个主题：信息传递、医疗护理转接的情感影响、护理连续性、患者相关因素、医疗服务提供者相关因素以及医疗系统相关因素。在163个证据来源中对旨在改善癌症患者医疗护理转接情况的干预措施进行了开发、实施或评估。
虽然有大量关于癌症患者医疗护理转接的研究，但我们对某些医疗护理转接情况和特定类型癌症的了解仍存在差距，这表明需要更多证据来探索这些领域。
