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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 ―外来チーム医療の実際と課題―
https://doi.org/10.24552/00002162
https://doi.org/10.24552/000021627b5d73b5-615b-49e8-b2c8-f86f870cd41c
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-06-16 | |||||
タイトル | ||||||
タイトル | 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 ―外来チーム医療の実際と課題― | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Team medical care for cancer outpatients on anticancer medication therapy: Reality and challenges | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 外来がん薬物療法 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | がん患者 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | チーム医療 | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | anticancer medication therapy | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | outpatient care | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | cancer patient | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | team medical care | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.24552/00002162 | |||||
ID登録タイプ | JaLC | |||||
著者 |
本間, ともみ
× 本間, ともみ× 伝法谷, 明子× 鳴井, ひろみ× Honma, Tomomi× Denpoya, Akiko× Narui, Hiromi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 〔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。 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | [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. |
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書誌情報 |
青森保健医療福祉研究 en : Aomori Journal of Health and Welfare 巻 3, 号 1, p. 10-19, 発行日 2021-09-17 |
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出版者 | ||||||
出版者 | 青森県立保健大学 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2435-6794 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |