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采用标准化结构化报告(SSR)的障碍与驱动因素:病理学家的见解

Obstacles and drivers in the adoption of Standardized Structured Reporting (SSR): insights from pathologists.

作者信息

Bazyleva Ekaterina, De Schutter Harlinde, Croes Romaric, Deman Frederik, Roose Emma, Van de Vijver Koen, Seegers Paul, Dendooven Amélie

机构信息

Belgian Society of Pathology, Brussels, Belgium.

Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

出版信息

Virchows Arch. 2025 Jan 7. doi: 10.1007/s00428-024-04012-2.

DOI:10.1007/s00428-024-04012-2
PMID:39762510
Abstract

The adoption of Standardized Structured Reporting (SSR) in pathology offers significant potential to improve data consistency, completeness, and interoperability. This study combines quantitative data from an online survey of Belgian pathologists with qualitative insights from focus group interviews to identify key factors influencing SSR implementation. Survey results demonstrate strong support for SSR, particularly in enhancing report uniformity, completeness, and efficiency, especially in multidisciplinary teams and for secondary data use. Despite these advantages, participants identified several challenges, including the integration of SSR with existing IT systems, financial constraints, resistance to change, and legal and regulatory barriers. Focus group interviews reinforced these findings, emphasizing the need for collaboration, technological innovation, and governmental support. Effective strategies for overcoming these barriers include securing funding, providing comprehensive training, improving IT infrastructure, and advocating for supportive legal frameworks. A hybrid approach, balancing centralized standardization with local customization and drawing on international experiences, seems to offer the most promise for successfully integrating SSR into pathology practice.

摘要

病理学中采用标准化结构化报告(SSR)具有显著潜力,可提高数据的一致性、完整性和互操作性。本研究将对比利时病理学家在线调查的定量数据与焦点小组访谈的定性见解相结合,以确定影响SSR实施的关键因素。调查结果显示对比利时病理学家在线调查的定量数据与焦点小组访谈的定性见解相结合,以确定影响SSR实施的关键因素。调查结果显示对SSR的大力支持,特别是在提高报告的一致性、完整性和效率方面,尤其是在多学科团队中以及用于二次数据使用时。尽管有这些优势,但参与者指出了几个挑战,包括SSR与现有IT系统的集成、资金限制、对变革的抵触以及法律和监管障碍。焦点小组访谈强化了这些发现,强调了合作、技术创新和政府支持的必要性。克服这些障碍的有效策略包括获得资金、提供全面培训、改善IT基础设施以及倡导支持性的法律框架。一种将集中标准化与本地定制相结合并借鉴国际经验的混合方法,似乎为成功将SSR整合到病理学实践中提供了最大希望。

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本文引用的文献

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Improving Interdisciplinary Communication: Barriers and Facilitators for Implementation of Standardized Structured Reporting in Oncology.改善跨学科沟通:肿瘤学中实施标准化结构化报告的障碍与促进因素
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