Delivery of care consistent with the psychosocial standards in pediatric cancer: Current practices in the United States.
Delivery of care consistent with the psychosocial standards in pediatric cancer: Current practices in the United States.
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DOI：
10.1002/pbc.26869
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发表时间：
2018-03
影响因子：
3.2
通讯作者：
Kazak AE
中科院分区：
文献类型：
--
作者：
Scialla MA;Canter KS;Chen FF;Kolb EA;Sandler E;Wiener L;Kazak AE
随着《癌症儿童及其家庭心理社会护理循证标准》的发布，了解其实施现状至关重要。本文介绍了在美国（U.S.）的标准相关的心理社会护理提供的数据。来自144个项目的儿科肿瘤学家、心理社会领导者和儿科肿瘤学管理者完成了一项在线调查。与会者报告了符合《标准》的心理社会护理的实施程度、全面程度和最新水平，还报告了每项《标准》的具体做法和服务，以及心理社会护理在多大程度上被纳入更广泛的医疗护理。参与者表示，在大多数标准中，他们的中心通常或总是提供符合标准的心理社会护理。然而，只有一半的肿瘤学家（55.6%）和心理社会的领导人（45.6%）同意或强烈同意，他们的心理社会护理是全面的，最先进的。提供的心理社会护理类型包括基于证据和不太成熟的方法，但最常见的是当问题被发现，而不是主动提供。对最先进护理的看法与综合心理社会护理的做法和目前实施标准的程度有关。许多肿瘤学家和社会心理学领导者认为，他们中心提供的社会心理护理符合标准。然而，护理是相当多变的，有证据表明，更综合的心理社会服务模式的价值。
With published evidence-based Standards for Psychosocial Care for Children with Cancer and their Families, it is important to know the current status of their implementation. This paper presents data on delivery of psychosocial care related to the Standards in the United States (U.S.). Pediatric oncologists, psychosocial leaders, and administrators in pediatric oncology from 144 programs completed an online survey. Participants reported on the extent to which psychosocial care consistent with the Standards was implemented and was comprehensive and state of the art. They also reported on specific practices and services for each Standard and the extent to which psychosocial care was integrated into broader medical care. Participants indicated that psychosocial care consistent with the Standards was usually or always provided at their center for most of the Standards. However, only half of the oncologists (55.6%) and psychosocial leaders (45.6%) agreed or strongly agreed that their psychosocial care was comprehensive and state of the art. Types of psychosocial care provided included evidence based and less established approaches but were most often provided when problems were identified, rather than proactively. The perception of state of the art care was associated with practices indicative of integrated psychosocial care and the extent to which the Standards are currently implemented. Many oncologists and psychosocial leaders perceive that the delivery of psychosocial care at their center is consistent with the Standards. However, care is quite variable, with evidence for the value of more integrated models of psychosocial services.
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影响因子：
3.2
作者：
Scialla MA;Canter KS;Chen FF;Kolb EA;Sandler E;Wiener L;Kazak AE
通讯作者：
Kazak AE
影响因子：
3.2
作者：
Annett, Robert D.;Patel, Sunita K.;Phipps, Sean
通讯作者：
Phipps, Sean
影响因子：
3.6
作者：
Patel, Sunita K.;Mullins, Wendy;Sato, Judith K.
通讯作者：
Sato, Judith K.
影响因子：
3.2
作者：
Kazak, Anne E.;Abrams, Annah N.;Kupst, Mary Jo
通讯作者：
Kupst, Mary Jo
生存者心理社会随访作为儿科肿瘤学护理标准。
影响因子：
3.2
作者：
Lown EA;Phillips F;Schwartz LA;Rosenberg AR;Jones B
通讯作者：
Jones B