Implementing a Clinical Pathway for Needs Assessment and Supportive Care Interventions.

IF 4.7 3区 医学 Q1 ONCOLOGY JCO oncology practice Pub Date : 2024-09-01 Epub Date: 2024-05-06 DOI:10.1200/OP.23.00482
Nicole L Stout, Catherine M Alfano, Raymond Liu, Niharika Dixit, Michael Jefford
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Abstract

Despite advances in clinical cancer care, cancer survivors frequently report a range of persisting issues, unmet needs, and concerns that limit their ability to participate in life roles and reduce quality of life. Needs assessment is recognized as an important component of cancer care delivery, ideally beginning during active treatment to connect patients with supportive services that address these issues in a timely manner. Despite the recognized importance of this process, many health care systems have struggled to implement a feasible and sustainable needs assessment and management system. This article uses an implementation science framework to guide pragmatic implementation of a needs assessment clinical system in cancer care. According to this framework, successful implementation requires four steps including (1) choosing a needs assessment tool; (2) carefully considering the provider level, clinic level, and health care system-level strengths and barriers to implementation and creating a pilot system that addresses these factors; (3) making the assessment system actionable by matching needs with clinical workflow; and (4) demonstrating the value of the system to support sustainability.

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实施需求评估和支持性护理干预的临床路径。
尽管癌症临床治疗取得了进步,但癌症幸存者仍经常反映出一系列持续存在的问题、未满足的需求和担忧,这些问题和需求限制了他们参与生活的能力,降低了生活质量。需求评估被认为是癌症治疗的一个重要组成部分,理想的做法是在积极治疗期间就开始评估,以便将患者与支持性服务联系起来,及时解决这些问题。尽管这一过程的重要性已得到认可,但许多医疗保健系统仍在努力实施可行且可持续的需求评估和管理系统。本文采用实施科学框架来指导癌症治疗中需求评估临床系统的务实实施。根据该框架,成功实施需要四个步骤,包括:(1)选择需求评估工具;(2)仔细考虑提供者层面、诊所层面和医疗保健系统层面的优势和实施障碍,并针对这些因素创建一个试点系统;(3)通过将需求与临床工作流程相匹配,使评估系统具有可操作性;以及(4)展示该系统的价值,以支持其可持续发展。
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CiteScore
6.40
自引率
7.50%
发文量
518
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