The Interface Between Primary and Oncology Specialty Care: Treatment Through Survivorship
The Interface Between Primary and Oncology Specialty Care: Treatment Through Survivorship
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DOI：
10.1093/jncimonographs/lgq002
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发表时间：
2010-01-01
期刊：
影响因子：
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通讯作者：
Earle, Craig C.
中科院分区：
文献类型：
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作者：
Grunfeld, Eva;Earle, Craig C.
在完成初级和辅助癌症治疗后，直到复发或死亡的这段时间现在被认为是癌症控制连续体中的一个独特阶段。“幸存”一词已被采用来暗指这一阶段。生存是一个过渡时期：与诊断和治疗相关的问题重要性降低，而与长期后续护理、后遗症管理、康复和健康促进有关的问题占主导地位。在这篇文章中，我们探讨了在生存期内初级保健和专科护理之间的接口方面护理和卫生服务提供的独特挑战。研究文献指出了初级和专科医疗提供者之间的沟通问题，以及对卫生保健团队不同成员各自的作用缺乏明确性。建议将生存护理计划作为一个重要工具，以促进从积极治疗向生存过渡期间的沟通和责任分配。关于生存护理计划和生存护理的其他方面的研究问题仍有待回答。
The period after completing primary and adjuvant cancer treatment until recurrence or death is now recognized as a unique phase in the cancer control continuum. The term "survivorship" has been adopted to connote this phase. Survivorship is a time of transition: Issues related to diagnosis and treatment diminish in importance, and concerns related to long-term follow-up care, management of late effects, rehabilitation, and health promotion predominate. In this article, we explore the unique challenges of care and health service delivery in terms of the interface between primary care and specialist care during the survivorship period. The research literature points to problems of communication between primary and specialist providers, as well as lack of clarity about the respective roles of different members of the health-care team. Survivorship care plans are recommended as an important tool to facilitate communication and allocation of responsibility during the transition from active treatment to survivorship. Research questions that remain to be answered with respect to survivorship care plans and other aspects of survivorship care are discussed.