Adewuyi-Dalton R, Ziebland S, Grunfeld E, Hall A
University of Oxford, Department of Primary Health Care, Institute of Health Sciences, UK.
Psychooncology. 1998 Sep-Oct;7(5):436-9. doi: 10.1002/(SICI)1099-1611(1998090)7:5<436::AID-PON319>3.0.CO;2-C.
To investigate the experience of specialist hospital follow-up among 109 women with breast cancer in remission.
Qualitative interviews explored views of follow-up at an outpatient clinic.
Continuity of care and an unrushed consultation were considered to be both desirable and efficient. There were concerns that discontinuity led to a lack of personal and case familiarity and communication difficulties. Access to cancer expertise, the availability of diagnostic tests and specialist facilities were valued features of hospital follow-up, and further analysis indicated that this was particularly important in the early stages of follow-up.
A preference for continuity of care may suggest that GP follow-up would be preferred, but access to specialist services is valued and may be of particular importance during the early stages of follow-up. The diversity of patients' needs during follow-up must be recognised when formulating policy.
调查109名处于缓解期的乳腺癌女性患者在专科医院随访的经历。
通过定性访谈探讨门诊随访的观点。
连续性护理和从容不迫的会诊被认为既理想又高效。有人担心护理的中断会导致缺乏对患者个人情况和病例的熟悉度以及沟通困难。获得癌症专业知识、诊断测试的可用性和专科设施是医院随访的重要特征，进一步分析表明，这在随访早期尤为重要。
对连续性护理的偏好可能表明患者更倾向于由全科医生进行随访，但获得专科服务很重要，且在随访早期可能尤为重要。制定政策时必须认识到随访期间患者需求的多样性。
