Inexpensive solutions to enhance remote cancer care in community hospitals

L. L. Schenken, S. Rakfal, D. Heron, J. Proctor, Steven S. Wilson, E. Ricci
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Abstract

Rapidly increasing volume and complexity of information used for multidisciplinary cancer treatment requires carefully evolving communications with programmatic planning, detailed evaluation, and new methodologies and technical approaches to enhance the impact and efficacy of medical conferencing systems. We designed, implemented, and evaluated cost-effective and appropriate remote learning optimize oncology practice techniques in community hospitals. Our experience over the course of more than 7 years demonstrated simple and inexpensive communication solutions for both professional and lay education, satisfying information-dense needs of multimodality cancer care. We describe how potential complexities may be resolved with inexpensive devices and software programs. Staff teamwork and creativity are always required to implement constantly evolving technologies. We provide both quantitative and qualitative data describing activities and resulting staff responses resulting in 6,520 personnel with more than 391 aggregate credit hours of continuing medical education and continuing education credit activities with enhanced collegial participant satisfaction levels and heightened interactions/professionalism among regional oncology staff. We noted significant cost reductions for communications in all our three partnered hospitals. We demonstrated both increased satisfaction levels and heightened levels of behavioral changes (Impacts) in participants. Always, activities must be cost effective and responsive to changing medical needs. Community focused efforts with regional partners should be similar, assuring evolving successes.
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提高社区医院远程癌症护理的廉价解决方案
用于多学科癌症治疗的信息的数量和复杂性迅速增加,需要仔细发展与方案规划、详细评估、新方法和技术途径的沟通,以增强医学会议系统的影响和功效。我们设计、实施并评估了具有成本效益和适当的远程学习优化社区医院肿瘤学实践技术。我们在过去7年多的经验表明,简单而廉价的沟通解决方案既适用于专业教育,也适用于非专业教育,满足了多模式癌症治疗的信息密集需求。我们描述了如何用廉价的设备和软件程序解决潜在的复杂性。为了实现不断发展的技术,始终需要员工的团队合作和创造力。我们提供了定量和定性数据,描述了活动和由此产生的员工反应,结果是6520名员工接受了超过391学时的继续医学教育和继续教育学分活动,提高了学院参与者的满意度,提高了区域肿瘤学员工之间的互动/专业水平。我们注意到,我们所有三家合作医院的通讯费用都大幅降低。我们证明了参与者满意度的提高和行为改变(影响)的提高。各项活动始终必须具有成本效益,并能适应不断变化的医疗需求。以社区为重点的与区域伙伴的努力应是类似的,以确保不断取得成功。
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