PDF(Pubmed)
Abstract：
UNASSIGNED: Health policymakers have tried to improve the care pathway for cancer patients by improving collaboration between participating healthcare professionals by involving the general practitioner (GP).
UNASSIGNED: To explore how patients, GPs, oncologists and nurses interacted and how they perceived, in their practice, professional roles, collaboration, and cancer care pathways.
UNASSIGNED: Between January 2018 and December 2021, we conducted a qualitative study that combined phenomenology and a general inductive analysis, based on semi-structured interviews with cancer patients and their GPs, oncologists, and nurses in France.
UNASSIGNED: Our analysis of 59 interviews showed that the stakeholders had different perceptions of the cancer care pathway. Task division was implicit and depended on what each health professional thought he/she should be doing; this led to the blurring of certain tasks (announcement of the diagnosis, coordination, and follow-up). The healthcare professionals were stuck in frameworks centred on their own needs and expectations and were unaware of the other health professionals\' needs and expectations. Outside the hospital, GPs and nurses worked in isolation; they were not aware of the other stakeholders and did not communicate with them. GPs and nurses justified this attitude by the lack of a perceived need. Interprofessional communication varied as a function of the needs, involvement and knowledge of the other health professionals and was often mediated by the patient.
UNASSIGNED: In the cancer management in France, to improve cancer care pathway, there is a need to train healthcare professionals in interprofessional collaboration delivering care tailored to patient needs and preferences.
In the management of patients with cancer, the division of tasks between health professionals was not clear and was not discussed by the group.Communication within the health professionals was mediated often by the patient.Interprofessional collaboration is strongly encouraged by France’s public health policies but was not mentioned or put into practice by the health professionals.
UNASSIGNED: To explore how patients, GPs, oncologists and nurses interacted and how they perceived, in their practice, professional roles, collaboration, and cancer care pathways.
UNASSIGNED: Between January 2018 and December 2021, we conducted a qualitative study that combined phenomenology and a general inductive analysis, based on semi-structured interviews with cancer patients and their GPs, oncologists, and nurses in France.
UNASSIGNED: Our analysis of 59 interviews showed that the stakeholders had different perceptions of the cancer care pathway. Task division was implicit and depended on what each health professional thought he/she should be doing; this led to the blurring of certain tasks (announcement of the diagnosis, coordination, and follow-up). The healthcare professionals were stuck in frameworks centred on their own needs and expectations and were unaware of the other health professionals\' needs and expectations. Outside the hospital, GPs and nurses worked in isolation; they were not aware of the other stakeholders and did not communicate with them. GPs and nurses justified this attitude by the lack of a perceived need. Interprofessional communication varied as a function of the needs, involvement and knowledge of the other health professionals and was often mediated by the patient.
UNASSIGNED: In the cancer management in France, to improve cancer care pathway, there is a need to train healthcare professionals in interprofessional collaboration delivering care tailored to patient needs and preferences.
In the management of patients with cancer, the division of tasks between health professionals was not clear and was not discussed by the group.Communication within the health professionals was mediated often by the patient.Interprofessional collaboration is strongly encouraged by France’s public health policies but was not mentioned or put into practice by the health professionals.
摘要：
■卫生政策制定者试图通过让全科医生（GP）参与改善参与的医疗保健专业人员之间的合作来改善癌症患者的护理途径。
■为了探索患者，GP,肿瘤学家和护士互动以及他们是如何感知的，在他们的实践中，专业角色,合作,和癌症护理途径。
■在2018年1月至2021年12月之间，我们进行了一项定性研究，该研究结合了现象学和一般归纳分析，基于对癌症患者及其全科医生的半结构化访谈，肿瘤学家,法国的护士
■我们对59次访谈的分析表明，利益相关者对癌症护理途径的看法不同。任务划分是隐含的，取决于每个健康专业人员认为他/她应该做什么；这导致某些任务的模糊（诊断的宣布，协调,和后续行动)。医疗保健专业人员被困在以自己的需求和期望为中心的框架中，而没有意识到其他卫生专业人员的需求和期望。在医院外面,全科医生和护士孤立地工作；他们不知道其他利益相关者，也没有与他们沟通。全科医生和护士通过缺乏感知的需求来证明这种态度是合理的。专业间的交流因需求而异，其他卫生专业人员的参与和知识，通常由患者调解。
■在法国的癌症管理中，改善癌症治疗途径，有必要培训医疗保健专业人员进行跨专业合作，以根据患者的需求和偏好提供量身定制的护理。
在癌症患者的治疗中，卫生专业人员之间的任务分工尚不明确，该小组也没有讨论。卫生专业人员内部的沟通通常由患者进行。法国的公共卫生政策强烈鼓励跨专业合作，但卫生专业人员并未提及或付诸实践。
■为了探索患者，GP,肿瘤学家和护士互动以及他们是如何感知的，在他们的实践中，专业角色,合作,和癌症护理途径。
■在2018年1月至2021年12月之间，我们进行了一项定性研究，该研究结合了现象学和一般归纳分析，基于对癌症患者及其全科医生的半结构化访谈，肿瘤学家,法国的护士
■我们对59次访谈的分析表明，利益相关者对癌症护理途径的看法不同。任务划分是隐含的，取决于每个健康专业人员认为他/她应该做什么；这导致某些任务的模糊（诊断的宣布，协调,和后续行动)。医疗保健专业人员被困在以自己的需求和期望为中心的框架中，而没有意识到其他卫生专业人员的需求和期望。在医院外面,全科医生和护士孤立地工作；他们不知道其他利益相关者，也没有与他们沟通。全科医生和护士通过缺乏感知的需求来证明这种态度是合理的。专业间的交流因需求而异，其他卫生专业人员的参与和知识，通常由患者调解。
■在法国的癌症管理中，改善癌症治疗途径，有必要培训医疗保健专业人员进行跨专业合作，以根据患者的需求和偏好提供量身定制的护理。
在癌症患者的治疗中，卫生专业人员之间的任务分工尚不明确，该小组也没有讨论。卫生专业人员内部的沟通通常由患者进行。法国的公共卫生政策强烈鼓励跨专业合作，但卫生专业人员并未提及或付诸实践。
