通过全科医生远程参与多学科会诊会议调整患者肿瘤治疗:可行性研究。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL European Journal of General Practice Pub Date : 2022-12-01 DOI:10.1080/13814788.2021.2003775
Vladimir Druel, Laetitia Gimenez, Paul Tachousin, Nathalie Boussier, Eric Bauvin, Grosclaude Pascale, Odile Beyne-Rauzy, Marie-Eve Rougé Bugat
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引用次数: 1

摘要

背景:全科医生(GP)是管理癌症患者的核心,其数量在世界范围内不断增加。全科医生的参与需要合作伙伴之间更好的协调,特别是肿瘤学家和全科医生。目的:探讨全科医生远程参与多学科会诊会议的可行性。我们分析了参与、参与者满意度及其对治疗决策的影响。方法:我们在法国图卢兹的区域癌症中心进行了可行性研究。2016年1月1日至3月31日期间mcm中讨论的所有骨髓增生异常病例均被纳入。年龄在18岁以上,诊断为骨髓发育不良并在全科医生处注册的患者,如果患者给予知情同意,则纳入研究。一名调查人员收集了全科医生在MCM之前、期间和之后三次电话或视频通话期间提供的数据。结果:在三个月的mcm期间讨论的86例患者中,44例符合全科医生参加的条件;27名全科医生参与27例患者的讨论。全科医生参与MCM导致了5例管理的改变,其中4次强化治疗,1次去强化治疗。根据全科医生的意见,讨论了医学、社会、家庭和心理领域。总体而言,所有参与者都对mcm感到满意。结论:全科医生远程参与mcm是可行的,并可能使患者适应肿瘤和血液学管理。这种以患者为中心的方法需要一个特定的组织,当实施时,满足所有参与者的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Adapting patients' oncological treatment through remote participation of general practitioners in multi-disciplinary consultation meetings: A feasibility study.

Background: The general practitioner (GP) is central to managing patients with cancer, whose numbers are increasing worldwide. The GP's involvement requires better coordination between involved partners, in particular oncologists and GPs.

Objectives: To conduct a feasibility study of remote participation of GPs in multi-disciplinary consultation meetings (MCMs). We analysed participation, participants' satisfaction, and their impact on therapeutic decisions.

Methods: We conducted a feasibility study in the regional cancer centre of Toulouse, France. All patient cases discussed in the MCMs for myelodysplasia from 1 January to 31 March 2016 were included. Cases of patients aged over 18 years, with a diagnosis of myelodysplasia and registered with a GP were included if patients gave informed consent. One investigator collected the data provided by GPs during three telephone or video calls: before, during, and after the MCM, respectively.

Results: Of 86 patient cases discussed during three months of MCMs, 44 were eligible for GP participation; 27 GPs participated in discussions of 27 patient cases. The GP's participation in the MCM led to a change in management in five cases, with four times treatment intensifications and once de-intensification. Medical, social, family-related, and psychological domains were discussed with input from the GPs. Overall, all participants were satisfied with the MCMs.

Conclusion: Remote participation of GPs in MCMs is feasible and may result in adapting oncological and haematological management for patients. This patient-centred approach requires a specific organisation that, when implemented, satisfies the needs of all participants.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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