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青少年及青年(AYA)患者参与欧洲医疗保健和研究项目:扩大患者权益倡导的范围

Adolescent and young adult (AYA) patient involvement and engagement in European health care and research projects: expanding the scope of patient advocacy.

作者信息

Košir U, Lysen F, Unterecker N, Deželak T, Sturesson E, Shakhnenko I, Stark D, Rizvi K, Darlington A-S, Wee L, van der Graaf W T A, Husson O

机构信息

Youth Cancer Europe, Cluj-Napoca, Romania.

Department of Society Studies, Maastricht University, Maastricht, The Netherlands.

出版信息

ESMO Open. 2025 Mar;10(3):104478. doi: 10.1016/j.esmoop.2025.104478. Epub 2025 Feb 24.

DOI:10.1016/j.esmoop.2025.104478
PMID:39999519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11908577/
Abstract

Patient involvement and engagement (PI&E) in health care and research has gained prominence, shifting towards person-centred approaches and shared decision making. Patients actively participating in health care design and research lead to better quality and efficiency of care. However, implementing meaningful PI&E is challenging and requires adequate resources and evaluation frameworks so that it does not result in tokenism. This is particularly important when considering niche areas like adolescents and young adults (AYAs) with cancer. As AYAs' unique needs continue to gain recognition, it is becoming increasingly important to incorporate their expertise and diverse perspectives in navigating care. Large-scale European consortia that focus specifically on AYAs offer opportunities to establish successful partnerships with AYAs in the design and creation of the next generation of equitable, diverse, and inclusive cancer care. Concrete actions for meaningful AYA PI&E are discussed.

摘要

患者参与医疗保健和研究(PI&E)已日益受到重视,正朝着以患者为中心的方法和共同决策转变。患者积极参与医疗保健设计和研究可提高护理质量和效率。然而,实施有意义的PI&E具有挑战性,需要足够的资源和评估框架,以免流于形式。在考虑像青少年和青年成人(AYA)癌症患者这样的特定领域时,这一点尤为重要。随着AYA的独特需求不断得到认可,在护理过程中纳入他们的专业知识和多样观点变得越来越重要。专门关注AYA的大型欧洲联盟为在设计和创建下一代公平、多样和包容的癌症护理方面与AYA建立成功的伙伴关系提供了机会。本文讨论了针对有意义的AYA患者参与和参与的具体行动。

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本文引用的文献

1
Elements of successful patient involvement in clinical cancer trials: a review of the literature.成功让患者参与癌症临床试验的要素:文献综述。
ESMO Open. 2024 Apr;9(4):102947. doi: 10.1016/j.esmoop.2024.102947. Epub 2024 Mar 15.
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What makes patient involvement work? Lessons learned from a qualitative study in adolescents and young adults with cancer.是什么让患者参与发挥作用?从一项针对青少年和青年癌症患者的定性研究中吸取的经验教训。
Patient Educ Couns. 2023 Oct;115:107881. doi: 10.1016/j.pec.2023.107881. Epub 2023 Jul 4.
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Cancer burden in adolescents and young adults in Europe.欧洲青少年和青年人群的癌症负担。
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Impact of Patient Engagement on Healthcare Quality: A Scoping Review.患者参与对医疗质量的影响:一项范围综述
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Enrollment of adolescent and young adult patients newly diagnosed with cancer in NCI CTEP-sponsored clinical trials before and after launch of the NCI National Clinical Trials Network.在 NCI 国家临床试验网络启动前后,新诊断为癌症的青少年和年轻成人患者在 NCI CTEP 赞助的临床试验中的入组情况。
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Health Expect. 2022 Aug;25(4):1232-1245. doi: 10.1111/hex.13506. Epub 2022 May 8.
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Next Step for Global Adolescent and Young Adult Oncology: A Core Patient-Centered Outcome Set.全球青少年和青年肿瘤学的下一步:一个核心的以患者为中心的结局集。
J Natl Cancer Inst. 2022 Apr 11;114(4):496-502. doi: 10.1093/jnci/djab217.
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A call to action: Antiracist patient engagement in adolescent and young adult oncology research and advocacy.行动呼吁:在青少年和青年肿瘤学研究与宣传中开展反种族主义患者参与。
Future Oncol. 2021 Oct;17(28):3743-3756. doi: 10.2217/fon-2020-1213. Epub 2021 Jul 15.
9
Adolescents and young adults (AYA) with cancer: a position paper from the AYA Working Group of the European Society for Medical Oncology (ESMO) and the European Society for Paediatric Oncology (SIOPE).青少年和年轻成人(AYA)癌症患者:来自欧洲肿瘤内科学会(ESMO)和欧洲小儿肿瘤学会(SIOPE)的 AYA 工作组的立场文件。
ESMO Open. 2021 Apr;6(2):100096. doi: 10.1016/j.esmoop.2021.100096.
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