在缺乏姑息关怀专家的环境中,确定医生对癌症患者社区姑息关怀咨询的需求:一项定性研究。

IF 1.9 4区 医学 Q3 ONCOLOGY
Miwa Aoki, Sena Yamamoto, Ayumi Takao, Saori Tamura, Yoshiyuki Kizawa, Harue Arao
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引用次数: 0

摘要

背景:姑息关怀专家的会诊有助于满足社区内癌症患者及其家属的众多需求。在缺乏姑息关怀专家的情况下,建立新的社区姑息关怀咨询系统需要收集证据来支持其发展。本研究旨在确定在没有姑息关怀专科医生的环境中,日本医生对姑息关怀咨询的具体需求和咨询方法的要求:采用半结构化虚拟访谈的定性描述研究。从 2023 年 8 月到 2023 年 10 月,我们对日本关东地区某县内没有姑息关怀专家的医院或诊所中提供癌症治疗的 11 名医生进行了访谈。我们询问了他们对姑息关怀咨询的具体需求以及对咨询方法的需求:结果:在 11 名医生中,有 9 人完成了全国性的基础姑息关怀教育项目。调查显示,关于他们的咨询需求,有三个主题:"获得专业见解"、"激发信心 "和 "提高照护能力";关于对咨询方法的需求,有两个主题:"加强照护合作 "和 "提高可及性":结论:医生需要咨询系统,除了提供专业知识外,还能增强他们的能力,提高社区护理能力。这些系统将包括通过外展会诊与专家合作、利用信息和通信技术,以及建立以护士为主导的会诊团队,以提高姑息关怀团队的可及性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying physicians' needs in community-based palliative care consultation for cancer patients in palliative care specialist-deficient settings: a qualitative study.

Background: Consultation with palliative care specialists can be beneficial in addressing the numerous demands of patients with cancers and their families within communities. In settings lacking palliative care specialists, establishing a new community-based palliative care consultation system necessitates gathering evidence to support its development. This study aimed to identify the specific palliative care consultation needs and the consultation methods requested by Japanese physicians in settings without palliative care specialists.

Methods: A qualitative descriptive study utilizing semi-structured virtual interviews. From August 2023 to October 2023, we conducted interviews with 11 physicians providing cancer treatment in hospitals or clinics in a prefecture within the Kanto region of Japan without palliative care specialists. Participants were asked about the specific palliative care consultation needs they have and the need for consultation methods.

Results: Of the 11 physicians, nine had completed the nationwide basic primary palliative care education program. The survey revealed three themes regarding their consultation needs: 'receiving specialized insight', 'inspiring confidence', and 'improving care capacity', Two themes emerged regarding the need for consultation methods: 'enhancing care collaboration' and 'improving accessibility'.

Conclusions: Physicians require consultation systems to empower them and enhance the community care capacity, in addition to providing specialized knowledge. These systems would include collaboration with specialists through outreach consultations, utilization of information and communications technology, and the establishment of nurse-led consultation teams to improve access to palliative care teams.

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来源期刊
CiteScore
3.70
自引率
8.30%
发文量
177
审稿时长
3-8 weeks
期刊介绍: Japanese Journal of Clinical Oncology is a multidisciplinary journal for clinical oncologists which strives to publish high quality manuscripts addressing medical oncology, clinical trials, radiology, surgery, basic research, and palliative care. The journal aims to contribute to the world"s scientific community with special attention to the area of clinical oncology and the Asian region. JJCO publishes various articles types including: ・Original Articles ・Case Reports ・Clinical Trial Notes ・Cancer Genetics Reports ・Epidemiology Notes ・Technical Notes ・Short Communications ・Letters to the Editors ・Solicited Reviews
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