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关于肿瘤社区中心,患者、护理人员及医疗专业人员的认知与需求:一项定性研究

Perceptions and needs of patients, caregivers and health professionals regarding an oncology community center: a qualitative study.

作者信息

Mitnik Inbal, Turgeman Ilit, Baziliansky Svetlana, Shalabna Hassan, Nassar-Sakas Leena, Bar-Sela Gil

机构信息

Division of Oncology, Rambam Health Care Campus, Haifa, Israel.

The Oncology Service, Lin Medical Center, Clalit Health Services, Haifa, Israel.

出版信息

Front Public Health. 2025 Jun 27;13:1569994. doi: 10.3389/fpubh.2025.1569994. eCollection 2025.

Abstract

INTRODUCTION AND AIMS

Oncology community centers (OCCs) may be beneficial for patients residing in regions requiring prolonged travel to large hospitals. A new model of OCC has been established in a peripheral region of Northern Israel, in affiliation with a large hospital. This center aims to increase accessibility to medical care and to make it more patient centered. The current study aims to better understand the needs and perceptions of patients, caregivers, and health professionals regarding the OCC to integrate them into the newmodel OCC and adapt the medical services to the population's needs.

MATERIALS AND METHODS

Semi-structured interviews were conducted with 18 participants to explore their perceptions regarding the new OCC. The interviews were qualitatively analyzed using the interpretative phenomenological analysis method.

RESULTS

Patients and caregivers recognized the advantages of receiving treatment closer to home but were concerned about losing their sense of security. Nurses expressed the need to increase their confidence by communicating closely with the hospital's staff and ensuring safety in case of urgent situations. Physicians emphasized the importance of hospital and community collaboration and the potential to enhance treatment adherence.

CONCLUSION

The results indicate that the new OCC was perceived as a significant step in developing medical services, however the main concern was a decrease in the level of confidence due to its distance from the hospital. Strong collaboration between academic and community settings is essential to ensure continuity of care and a sense of security.

摘要

引言与目的

肿瘤社区中心(OCC)可能对居住在需要长途前往大型医院地区的患者有益。以色列北部一个偏远地区已与一家大型医院合作建立了一种新的OCC模式。该中心旨在提高医疗服务的可及性,并使其更以患者为中心。本研究旨在更好地了解患者、护理人员和卫生专业人员对OCC的需求和看法,以便将他们纳入新的OCC模式,并使医疗服务适应人群需求。

材料与方法

对18名参与者进行了半结构化访谈,以探讨他们对新OCC的看法。采用解释性现象学分析方法对访谈进行定性分析。

结果

患者和护理人员认识到在离家更近的地方接受治疗的好处,但担心会失去安全感。护士表示需要通过与医院工作人员密切沟通并确保紧急情况下的安全来增强信心。医生强调了医院与社区合作的重要性以及提高治疗依从性的潜力。

结论

结果表明,新的OCC被视为医疗服务发展中的重要一步,然而主要担忧是由于其与医院的距离导致信心水平下降。学术机构与社区环境之间的紧密合作对于确保护理的连续性和安全感至关重要。

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