面向初级保健提供者和癌症专科医生的基于网络的沟通系统的实施
Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists.
摘要(中文译文)
医疗服务提供者报告了在协调癌症患者照护方面面临的挑战。数字技术工具为改善照护协调带来了新的可能性。在加拿大渥太华，一个基于网络和文本的异步系统（eOncoNote）被应用于癌症专科医生和初级保健提供者（PCPs）。本研究旨在探讨PCPs实施eOncoNote的经验，以及该系统对PCPs与癌症专科医生之间沟通的影响。作为一项更大规模研究的一部分，我们收集并分析了系统使用数据，并开展了一项讨论后调查，以了解使用eOncoNote的感知价值。我们分析了76名共享患者（33名正在接受治疗的患者和43名处于生存期阶段的患者）的eOncoNote数据。39%的PCPs回复了癌症专科医生发送的初始eOncoNote消息，其中几乎所有PCPs仅发送了一条消息。45%的PCPs完成了调查。大多数PCPs报告使用eOncoNote没有额外获益，并强调需要与电子病历（EMR）进行整合。超过半数的PCPs表示，如果他们对某位患者有疑问，eOncoNote可能是一项有用的服务。未来的研究应探讨EMR整合的机会，以及额外的干预措施是否能够支持PCPs与癌症专科医生之间的沟通。
Abstract
Healthcare providers have reported challenges with coordinating care for patients with cancer. Digital technology tools have brought new possibilities for improving care coordination. A web- and text-based asynchronous system (eOncoNote) was implemented in Ottawa, Canada for cancer specialists and primary care providers (PCPs). This study aimed to examine PCPs' experiences of implementing eOncoNote and how access to the system influenced communication between PCPs and cancer specialists. As part of a larger study, we collected and analyzed system usage data and administered an end-of-discussion survey to understand the perceived value of using eOncoNote. eOncoNote data were analyzed for 76 shared patients (33 patients receiving treatment and 43 patients in the survivorship phase). Thirty-nine percent of the PCPs responded to the cancer specialist's initial eOncoNote message and nearly all of those sent only one message. Forty-five percent of the PCPs completed the survey. Most PCPs reported no additional benefits of using eOncoNote and emphasized the need for electronic medical record (EMR) integration. Over half of the PCPs indicated that eOncoNote could be a helpful service if they had questions about a patient. Future research should examine opportunities for EMR integration and whether additional interventions could support communication between PCPs and cancer specialists.
如何引用
AMA
Bojana Petrovic, Jacqueline L Bender, Clare Liddy, Amir Afkham, Sharon F McGee, Scott C Morgan, et al. Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists.. Current oncology (Toronto, Ont.). 2023; doi:10.3390/curroncol30030269.
APA
Bojana Petrovic, Jacqueline L Bender, Clare Liddy, Amir Afkham, Sharon F McGee, Scott C Morgan, et al (2023). Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists.. Current oncology (Toronto, Ont.). https://doi.org/10.3390/curroncol30030269
GB/T 7714
Bojana Petrovic, Jacqueline L Bender, Clare Liddy, Amir Afkham, Sharon F McGee, Scott C Morgan, et al. Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists.[J]. Current oncology (Toronto, Ont.), 2023 doi:10.3390/curroncol30030269.
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