Cancer Survivors and the Patient-Centered Medical Home.
Cancer Survivors and the Patient-Centered Medical Home.
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DOI：
10.1007/s13142-012-0138-3
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发表时间：
2012-09
影响因子：
3.6
通讯作者：
Crabtree, Benjamin F.
中科院分区：
文献类型：
--
作者：
Hudson, Shawna V.;Miller, Suzanne M.;Hemler, Jennifer;McClinton, Aneesah;Oeffinger, Kevin C.;Tallia, Alfred;Crabtree, Benjamin F.
关键词：
幸存者护理计划被描述为提高癌症幸存者在完成积极治疗后接受的后续护理质量的有用工具。目前幸存者护理计划模式的相对成功在很大程度上取决于个别患者的行动。本研究以33位癌症存活者为研究对象，探讨癌症存活者对后续照护的理解，以及他们寻求照护的动机与资源。从社区肿瘤学和NCI指定的综合癌症中心治疗的患者的叙述中确定了三种类型的幸存者经历，从需要增强医疗保健沟通和决策支持的非激活患者到擅长导航复杂医疗保健环境的高度激活患者。使用以患者为中心的医疗之家作为一个概念框架，我们提出了一个研究，政策和实践议程，倡导多方面的决策支持，以提高癌症生存率和后续护理。
Survivor care plans have been described as useful tools for enhancing the quality of follow-up care that cancer survivors receive after their active treatment has been completed. The relative success of current survivor care plan models is strongly dependent on the actions of individual patients. In this qualitative study of 33 cancer survivors, we explored patients’ understanding of follow-up care and their motivations and resources for seeking care. Three types of survivor experiences were identified from narratives of patients treated in community oncology and NCI designated comprehensive cancer centers, ranging from non-activated patients who need enhanced health care communication and decision support to navigate their care to highly activated patients adept at navigating complex health care settings. Using the Patient-Centered Medical Home as a conceptual framework, we propose a research, policy and practice agenda that advocates for multi-faceted decision support to enhance cancer survivorship and follow-up care.
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