Abstract：
OBJECTIVE: Oncology patients often struggle to manage their medications and related adverse events during transitions of care. They are expected to take an active role in self-monitoring and timely reporting of their medication safety events or concerns to clinicians. The purpose of this study was to explore the factors influencing oncology patients\' willingness to report adverse events or concerns related to their medication after their transitions back home.
METHODS: A qualitative interview study was conducted with adult patients with breast, prostate, lung, or colorectal cancer who experienced care transitions within the previous year. A semi-structured interview guide was developed to understand patients\' perceptions of reporting mediation-related safety events or concerns from home. All interviews were conducted via phone calls, recorded, and transcribed for thematic data analysis.
RESULTS: A total of 41 individuals participated in the interviews. Three main themes and six subthemes emerged, including patients\' perceived relationship with clinicians (the quality of communication and trust in clinicians), perceived severity of adverse medication events (perceived severe vs. non-severe events), and patient activation in self-management (self-efficacy in self-management and engagement in monitoring health outcomes).
CONCLUSIONS: The patient-clinician relationship significantly affects patients\' reporting behaviors, which can potentially interact with other factors, including the severity of adverse events. It is important to engage oncology patients in medication safety self-reporting from home by enhancing health communication, understanding patients\' perceptions of severe events, and promoting patient activation. By addressing these efforts, healthcare providers should adopt a more patient-centered approach to enhance the overall quality and safety of oncological care.
METHODS: A qualitative interview study was conducted with adult patients with breast, prostate, lung, or colorectal cancer who experienced care transitions within the previous year. A semi-structured interview guide was developed to understand patients\' perceptions of reporting mediation-related safety events or concerns from home. All interviews were conducted via phone calls, recorded, and transcribed for thematic data analysis.
RESULTS: A total of 41 individuals participated in the interviews. Three main themes and six subthemes emerged, including patients\' perceived relationship with clinicians (the quality of communication and trust in clinicians), perceived severity of adverse medication events (perceived severe vs. non-severe events), and patient activation in self-management (self-efficacy in self-management and engagement in monitoring health outcomes).
CONCLUSIONS: The patient-clinician relationship significantly affects patients\' reporting behaviors, which can potentially interact with other factors, including the severity of adverse events. It is important to engage oncology patients in medication safety self-reporting from home by enhancing health communication, understanding patients\' perceptions of severe events, and promoting patient activation. By addressing these efforts, healthcare providers should adopt a more patient-centered approach to enhance the overall quality and safety of oncological care.
摘要：
目的：肿瘤科患者在治疗过渡期间常常难以控制药物和相关不良事件。预计他们将在自我监测和及时向临床医生报告其药物安全事件或担忧方面发挥积极作用。这项研究的目的是探讨影响肿瘤患者回家后报告与药物相关的不良事件或担忧的意愿的因素。
方法：对成年乳腺癌患者进行了定性访谈研究，前列腺,肺，或前一年经历护理转变的结直肠癌。开发了半结构化访谈指南，以了解患者对在家报告与调解相关的安全事件或担忧的看法。所有采访都是通过电话进行的，记录,并转录用于专题数据分析。
结果：共有41个人参加了访谈。出现了三个主要主题和六个次主题，包括患者与临床医生的感知关系(沟通质量和对临床医生的信任)，不良药物事件的感知严重程度(感知严重与非严重事件)，和患者在自我管理中的激活（自我管理中的自我效能感和参与监测健康结果）。
结论：患者-临床医生关系显著影响患者的报告行为，可能与其他因素相互作用，包括不良事件的严重程度。重要的是，通过加强健康沟通，让肿瘤患者在家参与药物安全自我报告，了解患者对严重事件的看法，并促进患者的激活。通过解决这些问题，医疗保健提供者应采用更加以患者为中心的方法,以提高肿瘤护理的整体质量和安全性.
方法：对成年乳腺癌患者进行了定性访谈研究，前列腺,肺，或前一年经历护理转变的结直肠癌。开发了半结构化访谈指南，以了解患者对在家报告与调解相关的安全事件或担忧的看法。所有采访都是通过电话进行的，记录,并转录用于专题数据分析。
结果：共有41个人参加了访谈。出现了三个主要主题和六个次主题，包括患者与临床医生的感知关系(沟通质量和对临床医生的信任)，不良药物事件的感知严重程度(感知严重与非严重事件)，和患者在自我管理中的激活（自我管理中的自我效能感和参与监测健康结果）。
结论：患者-临床医生关系显著影响患者的报告行为，可能与其他因素相互作用，包括不良事件的严重程度。重要的是，通过加强健康沟通，让肿瘤患者在家参与药物安全自我报告，了解患者对严重事件的看法，并促进患者的激活。通过解决这些问题，医疗保健提供者应采用更加以患者为中心的方法,以提高肿瘤护理的整体质量和安全性.
