Advanced Practice Provider Model for Urgent Oncology Care.

Marie Iannelli, Alexis Brimm-Akins, Anessa M Foxwell, Beth Sandy, Krista Winalski, Kara Gatto, Suzanne Mcgettigan, Carolyn Grande
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Abstract

Inherent to the cancer disease trajectory are heightened risks for a plethora of comorbid diagnoses. As the treatment landscape for oncology therapeutics continues to rapidly advance, patients are living longer and potentially experiencing more symptoms requiring rapid assessment. Prompt assessment and intervention for cancer or cancer treatment-related symptoms is imperative to achieve patient comfort and obtain the best overall patient outcomes. Traditionally, these patients were frequently referred to the emergency department (ED) when same-day clinic appointments were not obtainable. In order to decrease ED utilization and provide same-day urgent care for oncology patients, the Abramson Cancer Center established an advanced practice provider-led Oncology Evaluation Center where cancer patients are able to receive same-day assessment, symptom relief, and ultimately prevent unnecessary ED visits.

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急诊肿瘤护理的高级实践提供者模型。
固有的癌症疾病轨迹是增加风险过多的合并症诊断。随着肿瘤治疗的治疗前景持续快速发展,患者的寿命更长,并且可能出现更多需要快速评估的症状。及时评估和干预癌症或癌症治疗相关症状是实现患者舒适和获得最佳整体患者预后的必要条件。传统上,当无法获得当日门诊预约时,这些患者经常被转介到急诊科(ED)。为了降低急诊科的使用率,并为肿瘤患者提供当天的紧急护理,艾布拉姆森癌症中心建立了一个由高级执业医师领导的肿瘤评估中心,在那里,癌症患者能够接受当天的评估,症状缓解,并最终避免不必要的急诊科就诊。
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