Quality Oncology Practice Initiative Can Guide and Improve Oncology Providers’ Training in Brazil
| Autor: | Daiane Pereira Guimarães, Nildo Alves Batista, Paulo Gustavo Bergerot, Edvane Birelo Lopes De Domenico, Errol J. Philip, Simone Elias, Nora Manoukian Forones, Otavio C. G. Baiocchi, Cristiane Decat Bergerot |
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| Rok vydání: | 2017 |
| Předmět: |
Oncology
Cancer Research medicine.medical_specialty media_common.quotation_subject Developing country lcsh:RC254-282 Medical care 03 medical and health sciences 0302 clinical medicine Documentation Nursing Internal medicine Quality of Care Medicine Quality (business) 030212 general & internal medicine media_common business.industry Cancer lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease 030220 oncology & carcinogenesis Family medicine Cancer management Commentary Public university business |
| Zdroj: | Journal of global oncology Journal of Global Oncology, Vol 3, Iss 3, Pp 189-193 (2017) |
| ISSN: | 2378-9506 |
| Popis: | Purpose It has become crucial to translate scientific findings and to find ways by which to mobilize local resources to improve the quality and accessibility of cancer care in developing countries. This study seeks to provide insight into challenge through examining differences in clinician documentation of patients with cancer treated at a Brazilian Public University Hospital. Methods ASCO Quality Oncology Practice Initiative (QOPI) measures were used to examine the care provided in the departments of breast, colorectal, lymphoma, gynecology, and lung cancers. For this study, data from a representative sample of patients receiving chemotherapy in the previous month were extracted and quality of cancer care indicators examined. Results Certain elements of medical care were consistently and appropriately documented, including cancer diagnosis and stage, chemotherapy planning, administration, and summary. In general, considering the specific cancer management measures, patients received recommended care in accordance with recognized guidelines. Despite this, a number of important gaps in care were identified, including the assessment and treatment of pain, documentation of chemotherapy intention, symptom and toxicity management, patients’ psychosocial status, and provision of a treatment summary at care completion. Conclusion These findings are encouraging in terms of adherence to core treatment guidelines in cancer care in Brazil. However, results suggest important opportunities for improving care across a number of domains, many of which represent a challenge throughout both developing and developed countries. This study may also provide preliminary guidance for enhancing educational and training programs for professionals and students alike, to implement high-quality, comprehensive cancer care. |
| Databáze: | OpenAIRE |
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