Survivorship care plans: is there buy-in from community oncology providers?
Survivorship care plans: is there buy-in from community oncology providers?
复制标题
幸存者护理计划：社区肿瘤学提供者是否支持？
作者：
Salz,Talya;McCabe,MaryS;Onstad,ErinE;Baxi,ShrujalS;Deming,RichardL;Franco,ReginaA;Glenn,LynA;Harper,GregoryR;Jumonville4th,AlceeJ;Payne,RoxanneM;Peters,ElissaA;Salner,AndrewL;Schallenkamp,JohnM;Williams,SheronR;Yi
背景医学研究所建议癌症幸存者及其初级保健提供者接受幸存者护理计划 (SCP)，以总结癌症治疗并计划持续护理。然而，SCP 的使用仍然有限。 方法 14 家国家癌症研究所社区癌症中心计划医院的肿瘤科提供者完成了一项关于他们对 SCP 看法的调查，包括实施障碍、实施策略、肿瘤科提供者的作用以及 SCP 主题的重要性（诊断、治疗、建议的持续护理以及肿瘤科实践将提供的持续护理的各个方面）。 结果 在 245 名提供者中（答复率为70%），52% 报告曾向患者提供过 SCP 的任何组件。最广泛报道的障碍是缺乏创建 SCP 的人员和时间（分别为 69% 和 64% 的受访者）。使用 SCP 的最广泛认可的策略是使用具有预先指定字段的模板； 94% 使用模板的人认为它们很有帮助。对于 SCP 的每个主题，尽管 87% 至 89% 的肿瘤学提供者认为初级保健提供者接收信息非常重要，但只有 58% 至 65% 的受访者认为患者接收信息非常重要。此外，33% 至 38% 的受访者对于肿瘤学提供者是否有责任提供 SCP 持不同意见。 结论 实践需要额外的资源来克服实施 SCP 的障碍。我们发现了对 SCP 的抵制，特别是对幸存者的感知价值以及肿瘤学提供者负责 SCP 传播的想法。Cancer2014；120：722–30。©2013 美国癌症协会。
BACKGROUNDThe Institute of Medicine recommended that survivors of cancer and their primary care providers receive survivorship care plans (SCPs) to summarize cancer treatment and plan ongoing care. However, the use of SCPs remains limited.METHODSOncology providers at 14 National Cancer Institute Community Cancer Centers Program hospitals completed a survey regarding their perceptions of SCPs, including barriers to implementation, strategies for implementation, the role of oncology providers, and the importance of topics in SCPs (diagnosis, treatment, recommended ongoing care, and the aspects of ongoing care that the oncology practice will provide).RESULTSAmong 245 providers (response rate of 70%), 52% reported ever providing any component of an SCP to patients. The most widely reported barriers were lack of personnel and time to create SCPs (69% and 64% of respondents, respectively). The most widely endorsed strategy among those using SCPs was the use of a template with prespecified fields; 94% of those who used templates found them helpful. For each topic of an SCP, although 87% to 89% of oncology providers believed it was very important for primary care providers to receive the information, only 58% to 65% of respondents believed it was very important for patients to receive the information. Furthermore, 33% to 38% of respondents reported mixed feelings regarding whether it was the responsibility of oncology providers to provide SCPs.CONCLUSIONSPractices need additional resources to overcome barriers to implementing SCPs. We found resistance toward SCPs, particularly the perceived value for the survivor and the idea that oncology providers are responsible for SCP dissemination.Cancer2014;120:722–30.©2013 American Cancer Society.