Issues and opportunities in transitions from speciality care: a field study of bone marrow transplant
Issues and opportunities in transitions from speciality care: a field study of bone marrow transplant
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DOI：
10.1080/0144929x.2014.921729
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发表时间：
2015-06-03
影响因子：
3.7
通讯作者：
Ackerman, Mark S.
中科院分区：
文献类型：
--
作者：
Bueyuektuer, Ayse G.;Ackerman, Mark S.
众所周知，患者护理的过渡点（如出院和出院）具有独特的信息挑战。长期护理后的过渡涉及更复杂的过程。在这项研究中，我们研究的信息和上下文的问题，病人从专家谁已经知道他们通过长期的合作伙伴关系，临床医生可能不太熟悉病人的慢性护理问题的护理过渡。背景是骨髓移植（BMT）;特别是同种异体移植，涉及特定慢性并发症的风险和长期过程，需要BMT专家在实际移植手术后至少一年内对患者进行密切监测。基于一项为期16个月的实地研究，我们研究了患者的经验和临床医生的观点，关于患者的责任从BMT临床医生到初级保健或肿瘤学家的过渡，并详细说明了患者和临床医生的重要问题。
Transitional points in patient care, such as handoffs and hospital discharges, are known to have unique information challenges. Transitions following long-term care involve even more complex processes. In this study, we examine the informational and contextual issues for patients transitioning from the care of specialists who have come to know them through long-term partnerships to clinicians potentially less familiar with patients' chronic care concerns. The context is bone marrow transplant (BMT); specifically allogeneic transplants, which involve risk for particular chronic complications and a long-term process that requires close monitoring of patients by BMT specialists for at least a year beyond the actual transplant procedure. Based on a 16-month field study, we examine patient experience and clinician viewpoints regarding the transition of patient responsibility from BMT clinicians to primary care or oncologists, and detail the important issues for patients and clinicians.