Multidisciplinary Cancer Care Mode A positive association between oncology nurse navigation and improved outcomes for patients with cancer

被引:22
作者
Munoz, Robin D. [1 ]
Farshidpour, Leyla [2 ]
Chaudhary, Uzair B. [2 ,3 ]
Fathi, Amir H. [4 ,5 ]
机构
[1] Univ Calif San Francisco, Med Grp, Cent Calif Fac, Univ Ctr Excellence,Fresno Ctr Med Educ & Res Fre, San Francisco, CA 94143 USA
[2] UCSF, Fresno Ctr Med Educ & Res, San Francisco, CA USA
[3] Cent Calif Fac, Med Grp, Univ Ctr Excellence, Div Hematol Oncol, San Francisco, CA USA
[4] UCSF, Fresno Ctr Med Educ & Res, Sch Med, San Francisco, CA USA
[5] Community Reg Med Ctr, Hepatopancreatobiliary Surg, San Francisco, CA USA
关键词
navigation; nurse navigator; care coordination; gastrointestinal oncology; COLORECTAL-CANCER; BREAST;
D O I
10.1188/18.CJON.E141-E145
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND: Patients with cancer often experience prominent deficiencies in cancer care in the immediate period following initial cancer diagnosis. OBJECTIVES:This article aims to determine whether the inclusion of a gastrointestinal (GI) oncology nurse navigator (ONN) on the multidisciplinary cancer care team is associated with improved quality of care for patients. METHODS: This retrospective study compared randomly selected patients with GI cancer with and without an ONN. Two endpoints, the time from diagnosis to treatment and the average number of missed appointments, were evaluated through a review of healthcare records using the Epic electronic health records system. FINDINGS: Patients with an ONN had a shorter time lapse between diagnosis and treatment commencement (p < 0.001). In this group, the average time spent between initial diagnosis and the start of treatment was 15.15 days, compared to 42.93 days for patients who were not part of the multidisciplinary cancer care model.
引用
收藏
页码:E141 / E145
页数:5
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