Symptom and needs assessment screening in oncology patients: Alternate outreach methods during COVID-19.
Symptom and needs assessment screening in oncology patients: Alternate outreach methods during COVID-19.
复制标题
肿瘤患者的症状和需求评估筛查：COVID-19 期间的替代外展方法。
DOI：
10.1080/07347332.2021.1890663
复制
发表时间：
2021
影响因子：
2.1
通讯作者：
Cella,PhD,David
中科院分区：
文献类型：
--
作者：
Davis,MSN,MS,MPH,Kristina;Wilbur,MSW,Kayla;Metzger,BSN,Susan;Garcia,PhD,SofiaF;Cahue,MPH,September;Webster,MA,Kimberly;Lylerohr,MA,Madison;Himelhoch,PhD,MPH,HeatherL;Bilimoria,MD,Karl;Cella,PhD,David
理想的癌症患者筛查症状，包括痛苦，使用患者报告的结果测量（PROMs）。制定这一举措是为了确保在2019冠状病毒病大流行期间对无法使用电子门户网站的患者进行痛苦和相关症状筛查。在大流行之前，这些患者可以在诊所完成筛查。然而，许多就诊转为远程医疗。我们针对没有活跃电子门户帐户的患者实施了标准化的电话外展流程，以改善远程症状监测。外展活动完成了172项筛查，确定了63个人的110项需求。28例患者完成了患者门户登记。与门户网站用户相比，外联电话获得了更高比例的黑人患者（34%）和更高比例的61-80岁老人（69%）。大流行期间的电话外联获取了如果没有电子患者门户访问，老年和少数民族患者可能会错过的数据。患者参与对痛苦筛查过程至关重要。
Patients with cancer are ideally screened for symptoms, including distress, using patient-reported outcome measures (PROMs). This initiative was developed to ensure patients without access to an electronic portal were screened for distress and related symptoms during the COVID-19 pandemic. Prior to the pandemic, these patients could complete screening in clinic. However, many visits transitioned to telehealth. We implemented a standardized telephone outreach process targeting patients without active electronic portal accounts to improve remote symptom monitoring. Outreach resulted in 172 completed screens, identifying 110 needs for 63 individuals. Twenty-eight patients completed patient portal enrollment. Outreach calls captured a higher percentage of Black patients (34%) and a higher percentage of 61-80 year olds (69%) compared to portal users. Telephone outreach during the pandemic captured data that otherwise would have been missed in elderly and minority patients without electronic patient portal access. Patient engagement is vital to the distress screening process.