Team medical care for cancer outpatients on anticancer medication therapy: Reality and challenges
| Autor: | Tomomi, Honma, Akiko, Denpoya, Hiromi, Narui |
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| Jazyk: | japonština |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | 青森保健医療福祉研究 = Aomori Journal of Health and Welfare. 3(1):10-19 |
| ISSN: | 2435-6794 |
| Popis: | 〔目的〕本研究は，外来がん薬物療法を受ける患者を支援するための外来チーム医療の実際と課題を明らかにすることを目的とした。〔方法〕がん診療連携拠点病院5 施設の専門職者33名を対象に，半構成的面接調査を実施し，質的帰納的分析を行った。〔結果〕外来チーム医療の実際として，病院内の限られた職種間でのみ連携している，地域医療との連携が限られている，外来治療に移行後の患者の目標を多職種で共有していない，がん患者を支援するための専門職者の意見に差がある，各職種の相互理解に基づく対等な関係性が築けてない，外来に必要な専門職者の人員配置が不足している，という6 つが明らかとなった。また，課題は，病院内での多職種による継続的な支援の提供，地域医療との連携による支援の継続，患者と多職種との情報共有化の整備，患者の目標の多職種による共有化の推進，各々の専門性を高め合う意識の向上，リーダーシップの役割発揮，外来における専門職者の機能的な人員配置の7 つであった。〔結論〕外来がん薬物療法を受ける患者を支援するための外来チーム医療を推進していくためには，病院内から地域医療への多職種による継続的な支援の提供，患者との情報共有に基づく多職種での目標共有，専門性を高め合いチームとして支援する意識の向上，患者支援に専従できる専門職者の人員配置について，効果的なシステムを構築していく必要があることが示唆された。 [Objective] This study aims to clarify the reality and challenges faced by medical teams that support cancer outpatients taking medication.[Methods] A semi-structured interview survey was conducted with 33 professionals working at five designated cancer care hospitals. The results were qualitatively and inductively analyzed.[Results] Six situations were identified as those facing medical teams that support cancer outpatients: team members who work only in certain occupations collaborate at each hospital; cooperation with local medical services is limited; outpatient treatment goals are not shared among personnel of multiple job types; professionals do not share similar views about what support to provide to cancer patients; team members fail to develop fifty-fifty relationships, and they lack an understanding of other team members' jobs; and teams have too few professionals for proper outpatient treatment. The challenges consist of needs in seven categories: continued support for outpatients provided by team members in multiple types of jobs; continued support for outpatients provided through cooperation with local medical services; systems ensuring that outpatients and team members with multiple kinds of ccupations share information; the enhanced sharing of outpatient treatment goals among team members with different types of jobs; increased awareness of the need for team members to help one another improve their expertise; the application of leadership skills; and the efficient assignment of professionals to outpatient departments.[Conclusions] These results suggest the need for effective systems that promote team medical care to support cancer outpatients on medication. These should be useful for the following: enabling continual support for local medical services provided by hospital team members of diverse jobs; sharing outpatient treatment goals among team members of various jobs based on information-sharing with outpatients; increasing the awareness of the support that the medical team needs to provide, while addressing improvements in expertise; and allocating professionals who support outpatients full-time. |
| Databáze: | OpenAIRE |
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