Delivery of Virtual Care in Oncology: Province-Wide Interprofessional Consensus Statements Using a Modified Delphi Process.
Delivery of Virtual Care in Oncology: Province-Wide Interprofessional Consensus Statements Using a Modified Delphi Process.
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DOI：
10.3390/curroncol28060445
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发表时间：
2021-12-13
期刊：
影响因子：
--
通讯作者：
Singh S
中科院分区：
文献类型：
--
作者：
Cheung MC;Franco BB;Meti N;Thawer A;Tahmasebi H;Shankar A;Loblaw A;Wright FC;Fox C;Peek N;Sim V;Singh S
虚拟癌症护理（即，在COVID-19大流行期间，为满足癌症患者的需求，迅速采用了远程肿瘤学（teleoncology）。然而，临床医生在虚拟癌症护理方面缺乏指导。我们试图开发基于共识的声明，以指导临床医生照顾癌症患者的虚拟护理的最佳提供，使用修改后的德尔菲共识过程与29名成员组成的小组，由一个跨专业的临床医生照顾癌症患者和患者代表。协商一致进程包括两轮和一次同步的最后协商一致会议。在修改后的德尔菲过程结束时，62个声明中有62个达成了共识。在第一轮进程中，57份发言达成了共识。在协商一致过程中，解决了关于是否有能力以虚拟方式传达困难的消息以及是否有能力保持与面对面护理相似的标准，而不会对临床医生和患者造成不成比例的压力的问题。我们在虚拟癌症护理实践方面达成了跨专业共识。需要进一步研究虚拟癌症护理对以人为本和临床结果的影响，以便在COVID-19大流行期间及以后为实践提供信息。
Virtual cancer care (i.e., teleoncology) was rapidly adopted during the COVID-19 pandemic to meet the needs of patients with cancer. However, there is a paucity of guidance for clinicians regarding virtual cancer care. We sought to develop consensus-based statements to guide the optimal provision of virtual care for clinicians caring for patients with cancer, using a modified Delphi consensus process with a 29-member panel consisting of an interprofessional group of clinicians caring for patients with cancer and patient representatives. The consensus process consisted of two rounds and one synchronous final consensus meeting. At the end of the modified Delphi process, 62 of 62 statements achieved consensus. Fifty-seven statements reached consensus in the first round of the process. Concerns regarding the ability to convey difficult news virtually and maintaining similar standards as in-person care without disproportionate strain on clinicians and patients were addressed in the consensus process. We achieved interprofessional consensus on virtual cancer care practices. Further research examining the impact of virtual cancer care on person-centred and clinical outcomes are needed to inform practices during the COVID-19 pandemic and beyond.
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影响因子：
4.2
作者：
Agha ME;Blake M;Chilleo C;Wells A;Haidar G
通讯作者：
Haidar G
影响因子：
4.7
作者：
Doolittle, G C;Allen, A
通讯作者：
Allen, A
影响因子：
2.1
作者：
Sabesan, S.;Allen, D.;Grabinski, O.
通讯作者：
Grabinski, O.
影响因子：
28.2
作者：
Ribas A;Sengupta R;Locke T;Zaidi SK;Campbell KM;Carethers JM;Jaffee EM;Wherry EJ;Soria JC;D'Souza G;AACR COVID-19 and Cancer Task Force
通讯作者：
AACR COVID-19 and Cancer Task Force
影响因子：
28.4
作者：
Berlin A;Lovas M;Truong T;Melwani S;Liu J;Liu ZA;Badzynski A;Carpenter MB;Virtanen C;Morley L;Bhattacharyya O;Escaf M;Moody L;Goldfarb A;Brzozowski L;Cafazzo J;Chua MLK;Stewart AK;Krzyzanowska MK
通讯作者：
Krzyzanowska MK