整合跨團隊資源之個案管理照護方案提升癌症病人重返治療率之改善專案
背景：癌症病人重返治療是影響病人治療成效之重要因素，也是腫瘤個案管理師服務品質重要指標。分析本院2012年癌症病人重返治療率33.3%較2011年38.5%低，發現問題：一、缺乏提醒及監測機制；二、無明確訂定癌症病人拒絕及中斷治療訪視追蹤流程；三、缺乏在職教育訓練；四、未整合跨團隊照護資源及明訂轉介流程。目的：提升癌症病人重返治療率大於45%。解決方案：增設提醒及監測機制、建置癌症病人拒絕及中斷治療訪視追蹤流程、舉辦在職教育訓練課程、整合跨團隊照護資源及轉介流程。結果：重返治療率顯著提升高至48%。結論：證明腫瘤個案管理師整合跨團隊資源方案，透過增設監測機制、在職教育、及適當轉介，能有效讓病人...
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| Published in | Hu li za zhi Vol. 65; no. 2; pp. 75 - 84 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
Taipei
台灣護理學會
01.04.2018
Taiwan Nurses Association |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0047-262X |
| DOI | 10.6224/JN.201804_65(2).10 |
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| Abstract | 背景：癌症病人重返治療是影響病人治療成效之重要因素，也是腫瘤個案管理師服務品質重要指標。分析本院2012年癌症病人重返治療率33.3%較2011年38.5%低，發現問題：一、缺乏提醒及監測機制；二、無明確訂定癌症病人拒絕及中斷治療訪視追蹤流程；三、缺乏在職教育訓練；四、未整合跨團隊照護資源及明訂轉介流程。目的：提升癌症病人重返治療率大於45%。解決方案：增設提醒及監測機制、建置癌症病人拒絕及中斷治療訪視追蹤流程、舉辦在職教育訓練課程、整合跨團隊照護資源及轉介流程。結果：重返治療率顯著提升高至48%。結論：證明腫瘤個案管理師整合跨團隊資源方案，透過增設監測機制、在職教育、及適當轉介，能有效讓病人重返治療。 |
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| AbstractList | 背景：癌症病人重返治療是影響病人治療成效之重要因素，也是腫瘤個案管理師服務品質重要指標。分析本院2012年癌症病人重返治療率33.3%較2011年38.5%低，發現問題：一、缺乏提醒及監測機制；二、無明確訂定癌症病人拒絕及中斷治療訪視追蹤流程；三、缺乏在職教育訓練；四、未整合跨團隊照護資源及明訂轉介流程。目的：提升癌症病人重返治療率大於45%。解決方案：增設提醒及監測機制、建置癌症病人拒絕及中斷治療訪視追蹤流程、舉辦在職教育訓練課程、整合跨團隊照護資源及轉介流程。結果：重返治療率顯著提升高至48%。結論：證明腫瘤個案管理師整合跨團隊資源方案，透過增設監測機制、在職教育、及適當轉介，能有效讓病人重返治療。 The return-to-treatment rate is an important indicator of treatment outcome and care effectiveness in cancer patients. The return-to-treatment rates for patients at National Taiwan University Hospital (NTUH) in 2011 and 2012 were 38.5% and 33.3%, respectively. In order to improve the quality of care that is provided to patients, we reviewed NTUH's current clinical case management protocols for handling patients who refused treatment and then identified and resolved the potential problems in these protocols. To raise the return-to-treatment rate above 45% by 2013. We developed four new interventions to improve the return-to-treatment rate. Firstly, we assembled a quality care team that monitored the rates of patient return to treatment on a monthly basis and reminded case managers to follow up with patients regularly. Secondly, we introduced new protocols for case managers that facilitated the ongoing analysis of the reasons that patients elect not to return to treatment. Thirdly, we delivered regular educatio |
| Author | 崔宛玉(Wan-Yu Tsui) 陳宛榆(Wan-Yu Chen) 張桂玲(Guey-Ling Chang) 洪敏瑛(Ming-Ying Hong) 陳美君(Mei-Chun Chen) |
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| Keywords | return to treatment case management 拒絕治療 interdisciplinary care program 跨團隊資源 cancer patients refuse treatment 個案管理 重返治療 癌症病人 |
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| Snippet | 背景：癌症病人重返治療是影響病人治療成效之重要因素，也是腫瘤個案管理師服務品質重要指標。分析本院2012年癌症病人重返治療率33.3%較2011年38.5%低，發現問題：一、缺乏... The return-to-treatment rate is an important indicator of treatment outcome and care effectiveness in cancer patients. The return-to-treatment rates for... |
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| Title | 整合跨團隊資源之個案管理照護方案提升癌症病人重返治療率之改善專案 |
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