Keys to successful implementation of routine symptom monitoring in head and neck oncology with "Healthcare Monitor" and patients' perspectives of quality of care.
Keys to successful implementation of routine symptom monitoring in head and neck oncology with "Healthcare Monitor" and patients' perspectives of quality of care.
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DOI：
10.1002/hed.26425
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Offerman MPJ
中科院分区：
文献类型：
--
作者：
Dronkers EAC;Baatenburg de Jong RJ;van der Poel EF;Sewnaik A;Offerman MPJ
基于价值的医疗保健越来越多地用于促进患者随访期间的系统方法。我们开发了Healthcare Monitor（HM）：一种用于头颈癌（HNC）患者纵向随访的电子患者报告结局指标（ePRO）结构。这项研究分享了实施过程中的关键经验教训，并试图深入了解患者如何体验HM。我们进行了一项混合方法研究，使用来自HM（n = 45）与标准治疗（n = 46）患者非随机回顾性调查的定量数据和来自结构化访谈（n = 15）的定性数据。实施人力资源管理面临重大挑战。在临床医生、管理员和IT人员之间找到共同点是最重要的。定性研究结果表明，患者经历了更好的医患沟通和提高效率的咨询使用HM。患者感觉准备得更充分，并且更加关注关键问题。定量分析没有显示出显着差异。将HM整合到HNC患者的常规护理中可能增加了以患者为中心的护理，并促进了症状的筛查。然而，未来的研究需要更广泛地分析潜在的好处。
Value‐based health care is increasingly used to facilitate a systematic approach during follow‐up of patients. We developed Healthcare Monitor (HM): a structure of electronic patient‐reported outcome measures (ePROs) for the longitudinal follow‐up of head and neck cancer (HNC) patients. This study shares key lessons from implementation and seeks to provide insight into how patients experience HM. We conducted a mixed‐methods study using quantitative data from a nonrandomized retrospective survey of patients who received HM (n = 45) vs standard care (n = 46) and qualitative data from structured interviews (n = 15). Implementation of HM included significant challenges. Finding common ground among clinicians, administrators, and IT staff was most important. Qualitative findings suggest that patients experienced better doctor‐patient communication and increased efficiency of the consultation using HM. Patients felt better prepared and experienced more focus on critical issues. Quantitative analysis did not show significant differences. Integration of HM into routine care for HNC patients may have increased patient‐centered care and facilitated screening of symptoms. However, future research is needed to analyze the potential benefits more extensively.
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影响因子：
10.3
作者：
Basch, Ethan;Jia, Xiaoyu;Schrag, Deborah
通讯作者：
Schrag, Deborah
DOI：
10.1007/s00520-016-3393-x
发表时间：
2017-01
期刊：
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
影响因子：
--
作者：
Krebber AH;van Uden-Kraan CF;Melissant HC;Cuijpers P;van Straten A;Becker-Commissaris A;Leemans CR;Verdonck-de Leeuw IM
通讯作者：
Verdonck-de Leeuw IM
影响因子：
1.4
作者：
Belafsky, Peter C.;Mouadeb, Debbie A.;Leonard, Rebecca J.
通讯作者：
Leonard, Rebecca J.
影响因子：
3.1
作者：
Krebber, Anne-Marie H.;Jansen, Femke;Verdonck-de Leeuw, Irma M.
通讯作者：
Verdonck-de Leeuw, Irma M.
影响因子：
45.3
作者：
Bjordal, K;Hammerlid, E;Kaasa, S
通讯作者：
Kaasa, S