When and how to discharge cancer survivors in long term remission from follow-up: the effectiveness of a contract.
When and how to discharge cancer survivors in long term remission from follow-up: the effectiveness of a contract.
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DOI：
10.1016/s0936-6555(97)80055-6
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发表时间：
1997-01-01
期刊：
影响因子：
--
通讯作者：
Thomas, S F
中科院分区：
文献类型：
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作者：
Glynne-Jones, R;Chait, I;Thomas, S F
本研究的目的是探讨一个正式的计划系统出院的肿瘤门诊的地区综合医院的长期癌症幸存者。这一制度的支柱是医生和病人之间的书面合同，双方同意在出院后继续承担责任。在6个月的时间里，连续65名长期缓解的癌症患者接受了采访，并根据合同条款提供了出院。其中，41人接受并签署了合同。在出院后4个月，对患者进行了家访，并就合同在保证方面的有效性以及他们在经过多年的后续护理后出院的经历征求了他们的意见。在13个月的中位间隔（范围6-18），6名患者返回诊所。其余35名患者似乎已成功康复，可接受初级保健。焦虑和害怕复发不会被发现是拒绝接受出院合同的主要因素。
This study aimed to examine a formal planned system of discharge from the oncology clinic of a district general hospital for long term cancer survivors. The mainstay of this system lay in a written contract between the doctor and the patient, which accepted continuing responsibility after discharge. During a 6-month period, 65 consecutive cancer patients who were in long-standing remission were interviewed and offered discharge according to the terms of the contract. Of these, 41 accepted and signed the contract. At 4 months postdischarge, patients were visited in their homes and their views sought on the effectiveness of the contract in terms of reassurance and their experience of being discharged after so many years of follow-up care. At a median interval of 13 months (range 6-18), six patients have returned to the clinic. The remaining 35 patients appeared to be successfully rehabilitated to primary care. Anxiety and fear that recurrence would not be detected were the major factors associated with refusal to accept the discharge contract.