Cancer care continuity: A qualitative study on the experiences of French healthcare professionals, patients and family caregivers

IF 0.8 Q4 NURSING
S. Lelorain, C. Moreaux, V. Christophe, F. Weingertner, H. Bricout
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引用次数: 4

Abstract

Introduction Continuity of care has many positive outcomes. Yet, in oncology, it may rapidly be disrupted. It is therefore essential to investigate the perceptions of users. Our aim was thus to describe and compare the perceptions of cancer care continuity of patients, family caregivers and various healthcare professionals involved in cancer care in France, one of the countries most affected by cancer. Methods The urology and senology cancer departments of two hospitals, as well as community physicians, were involved: 54 hospital healthcare professionals including mainly physicians, nurses and medical secretaries; 12 city physicians; 41 patients and their family caregivers. We carried out a qualitative study using N-Vivo® and a deductive approach to code the interviews into the following dimensions of continuity: informational, organisational and relational. Results Three different perspectives were highlighted: hospital healthcare professionals primarily focused on organisational aspects (71% of their discourse), city physicians on their need for information from hospitals (40% of their discourse) and patients/caregivers on relational aspects with professionals (51% of their discourse). However, the three dimensions of continuity were intertwined, as the major focus of each type of participant impacted their perspective of the other spheres of coordination. Discussion Working on the main perspective of each category of person involved in cancer care could improve, in turn, the other spheres of continuity for these people. For example, dealing with organisational issues with hospital physicians could be an indirect and original way to enhance their relationships with patients, which are so important to the latter.
癌症护理连续性:对法国医疗保健专业人员、患者和家庭护理人员经验的定性研究
连续性护理有许多积极的结果。然而,在肿瘤学领域,它可能很快就会被打破。因此,有必要调查用户的看法。因此,我们的目的是描述和比较患者的癌症护理连续性的看法,家庭照顾者和各种医疗保健专业人员参与癌症护理在法国,受癌症影响最严重的国家之一。方法对两所医院泌尿外科、老年肿瘤科及社区医生进行调查:54名医院卫生专业人员,主要包括医师、护士和医务秘书;12名城市医生;41名患者及其家庭护理人员。我们使用N-Vivo®和演绎方法进行了定性研究,将访谈编码为以下连续性维度:信息、组织和关系。结果强调了三个不同的观点:医院医疗保健专业人员主要关注组织方面(占其话语的71%),城市医生关注他们对医院信息的需求(占其话语的40%),患者/护理人员关注与专业人员的关系方面(占其话语的51%)。但是,连续性的三个方面是相互交织的,因为每一类参与者的主要焦点影响到他们对其他协调领域的看法。研究每一类参与癌症治疗的人的主要观点可以改善,反过来,这些人的其他领域的连续性。例如,与医院医生一起处理组织问题可能是一种间接和原创的方式,可以加强他们与患者的关系,这对后者非常重要。
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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