• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Current Oncology >National Thoracic Surgery Standards Implementation: Barriers Enablers and Opportunities
【2h】

National Thoracic Surgery Standards Implementation: Barriers Enablers and Opportunities

机译：国家胸部外科标准实施：障碍推动者和机遇

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Diagnosis and surgical treatment decision making for thoracic cancers is complex. Moreover, there is demonstrated variability in how each province in Canada delivers cancer care, resulting in disparities in patient outcomes. Recently, the Canadian Partnership Against Cancer (CPAC) published pan-Canadian evidence-based standards for the care of thoracic surgery cancer patients. This study was undertaken to assess the degree to which these standards were currently met in practice and to further understand the determinants to their implementation nationally. Methods: This study was undertaken in two parts: (1) a national survey of thoracic surgeons to assess the perceived extent of implementation of these standards in their institution and province; and (2) formation of a focus group with a representative sample of thoracic surgeons across Canada in a qualitative study to understand the determinants of successful standards implementation. Results: 37 surgeons (33% response rate) participated in the survey; 78% were from academic hospitals. The top categories of standards that were under-implemented included (a) quality assurance processes, data collection and clinician audit and feedback, and (b) ongoing regional planning and workload assessments for thoracic surgeons, and (c) pathology turnaround time target of two weeks and the use of a standardized synoptic pathology report format. Enablers, barriers, and opportunities for standards implementation contextualized the discussion within the focus group. Conclusion: Study results demonstrated variation in the implementation of surgery standards across Canada and identified the determinants to the delivery of high quality surgical care. Future work will need to include the promotion and development of quality improvement strategies and effective resource allocation that is aligned with the implementation of thoracic cancer surgery standards in order to improve patient outcomes.
机译：背景：胸膜癌的诊断和外科治疗决策是复杂的。此外，加拿大各省如何提供癌症护理的可变性，导致患者结果中的差异。最近，加拿大对癌症的伙伴关系（CPAC）发表了潘加拿大证据的基于证据，为胸部外科癌症患者的护理。本研究进行了评估目前在实践中达到这些标准的程度，并进一步了解他国各自实施的决定因素。方法：本研究分为两部分：（1）全国胸外科医生调查，以评估其机构和省内这些标准的实施程度; （2）在一个定性研究中，在加拿大的胸外科医生的代表样本形成焦点小组，了解成功标准实施的决定因素。结果：37个外科医生（33％的回复率）参加了调查; 78％来自学术医院。实施的主要标准包括（a）质量保证程序，数据收集和临床医生审计和反馈，以及（b）胸外科医生的持续区域规划和工作量评估，（c）两个人的病理周转时间目标几周和使用标准化的概要病理报告格式。标准实施的推动者，障碍和机会上下文化了焦点组内的讨论。结论：研究结果表明，在加拿大实施手术标准的变化，并确定了高质量手术护理的传递的决定因素。未来的工作将需要包括促进和发展质量改进策略和有效资源分配，以实施胸癌手术标准，以改善患者结果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号