Equitably improving outcomes for cancer survivors and supporting caregivers: A blueprint for care delivery, research, education, and policy.

文献信息

DOI	10.3322/caac.21548
PMID	30376182
期刊	CA: a cancer journal for clinicians
影响因子	232.4
JCR 分区	Q1
发表年份	2019
被引次数	75
关键词	癌症幸存者，疾病管理，循证实践，健康政策，生存研究
文献类型	Journal Article
ISSN	0007-9235
页码	35-49
期号	69(1)
作者	Catherine M Alfano, Corinne R Leach, Tenbroeck G Smith, Kim D Miller, Kassandra I Alcaraz, Rachel S Cannady, Richard C Wender, Otis W Brawley

一句话小结

研究指出，癌症护理面临多重挑战，包括护理人员短缺和日益增长的幸存者需求，迫切需要提供个性化和协调的护理以满足幸存者及其护理者的独特需求。作者提出了关键优先事项，强调定期评估需求、提供量身定制的信息和支持新护理方法，以改善幸存者的健康结果并减轻医疗系统负担。

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癌症幸存者 · 疾病管理 · 循证实践 · 健康政策 · 生存研究

摘要

癌症护理的提供正在受到愈来愈多的癌症幸存者、医疗服务提供者短缺、初级治疗和后续护理成本上升、显著的幸存者健康差异、对非正式护理者的依赖增加以及向基于价值的护理转型等因素的影响。这些因素迫切需要为癌症幸存者提供协调、全面、个性化的护理，以满足幸存者和护理者的独特需求，同时最小化医疗服务提供者短缺的影响，并控制医疗系统、幸存者和家庭的成本。作者回顾了识别和解决癌症幸存者及其护理者需求的研究，并利用这一综合分析制定了一套关键优先事项，涵盖护理提供、研究、教育和政策，以公平地改善幸存者的结果并支持护理者。在三个优先领域中需要付出努力：1) 定期评估幸存者的需求和功能以及护理者的需求；2) 从诊断开始，为幸存者和护理者提供个性化、量身定制的信息和转介，尽可能将服务从护理点转移到需求点；3) 传播并支持新护理方法和干预措施的实施。

英文摘要

Cancer care delivery is being shaped by growing numbers of cancer survivors coupled with provider shortages, rising costs of primary treatment and follow-up care, significant survivorship health disparities, increased reliance on informal caregivers, and the transition to value-based care. These factors create a compelling need to provide coordinated, comprehensive, personalized care for cancer survivors in ways that meet survivors' and caregivers' unique needs while minimizing the impact of provider shortages and controlling costs for health care systems, survivors, and families. The authors reviewed research identifying and addressing the needs of cancer survivors and caregivers and used this synthesis to create a set of critical priorities for care delivery, research, education, and policy to equitably improve survivor outcomes and support caregivers. Efforts are needed in 3 priority areas: 1) implementing routine assessment of survivors' needs and functioning and caregivers' needs; 2) facilitating personalized, tailored, information and referrals from diagnosis onward for both survivors and caregivers, shifting services from point of care to point of need wherever possible; and 3) disseminating and supporting the implementation of new care methods and interventions.

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主要研究问题

核心洞察

研究背景和目的
随着癌症存活者数量的不断增加，癌症护理面临着医务人员短缺、初级治疗和后续护理成本上升、存活者健康差异显著、对非正式照顾者的依赖增加以及向价值基础护理的转型等多重挑战。这些因素促使研究者们认识到，必须为癌症存活者提供协调、全面和个性化的护理，以满足存活者和照顾者的独特需求，同时尽量减轻医务人员短缺对护理质量的影响，并控制医疗系统、存活者和家庭的成本。本文旨在通过对现有研究的回顾，识别并解决癌症存活者及其照顾者的需求，进而制定出一套提升存活者结果和支持照顾者的关键优先事项。
主要方法和发现
作者对相关研究进行了综合分析，识别出癌症存活者和照顾者在健康管理中的需求。基于这些发现，提出了三个重点优先领域：第一，实施对存活者及其照顾者需求和功能的常规评估；第二，从诊断开始，为存活者和照顾者提供个性化的信息和转介，尽可能将服务从护理点转移到需求点；第三，推广和支持新护理方法和干预措施的实施。这些方法旨在确保能够及时、有效地满足存活者和照顾者的需求。
核心结论
为了改善癌症存活者的健康结果并支持其照顾者，必须采取系统化的护理交付方法。这包括定期评估存活者和照顾者的需求、提供个性化的支持服务以及推广新的护理干预措施。这种以需求为导向的护理模式有助于提高存活者的生活质量，并减轻照顾者的负担。
研究意义和影响
本研究的意义在于为癌症护理的未来发展提供了一个明确的蓝图，强调了实现公平护理的重要性，特别是在资源有限的情况下。通过优化护理流程和服务提供，不仅可以提高癌症存活者的生活质量，还可以减轻家庭和社会的经济压力。此研究为政策制定者、医疗提供者和研究者提供了重要的指导，促进了对癌症存活者和照顾者的关注，推动了更全面的癌症护理战略的实施。

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... (65 更多篇文献)

Equitably improving outcomes for cancer survivors and supporting caregivers: A blueprint for care delivery, research, education, and policy. ​

文献信息 ​

一句话小结 ​

在麦伴科研 (maltsci.com) 搜索更多文献 ​

摘要 ​

英文摘要 ​

麦伴智能科研服务 ​

主要研究问题 ​

核心洞察 ​

引用本文的文献 ​