Reconsidering the team concept: educational implications for patient-centered cancer care.

Reconsidering the team concept: educational implications for patient-centered cancer care.
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重新考虑团队概念:以患者为中心的癌症护理的教育意义。

DOI:
10.1016/j.pec.2009.09.020
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发表时间:
2009
影响因子:
3.5
通讯作者:
Teal,CaylaR
Teal,CaylaR
中科院分区:
医学2区
文献类型:
--
作者:
Haidet,Paul;Fecile,MaryLynn;West,HeatherF;Teal,CaylaR

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以患者为中心的癌症护理已成为肿瘤学领域的优先事项。越来越多的努力在沟通技能方面培训肿瘤学家,导致了越来越多关于以患者为中心的癌症教育的文献。此外,系统方法使人们更加重视将团队作为癌症护理的组织框架的概念。在这篇文章中,我们研究了教育团队提供以患者为中心的癌症护理所涉及的问题。在这个过程中,我们质疑紧密协调的“团队”概念的适用性,并建议将“护理社区”的概念作为癌症护理通常提供方式的更可实现的理想。我们讨论了这对癌症传播教育的影响,并提出了三个原则来指导旨在提高癌症护理提供系统中以患者为中心的教育干预措施的发展。
Patient-centered cancer care has become a priority in the oncology field. Increasing efforts to train oncologists in communication skills have led to a growing literature on patient-centered cancer education. In addition, systems approaches have led to an increased emphasis on the concept of teams as an organizing framework for cancer care. In this essay, we examine issues involved in educating teams to provide patient-centered cancer care. In the process, we question the applicability of a tightly coordinated ‘team’ concept, and suggest the concept of a ‘care community’ as a more achievable ideal for the way that cancer care is commonly delivered. We discuss the implications that this has for cancer communication education, and propose three principles to guide the development of educational interventions aimed at increasing patient-centeredness in cancer care delivery systems.
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