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首页> 美国卫生研究院文献>Journal of Oncology Practice >Care for a Patient With Cancer As a Project: Management of Complex Task Interdependence in Cancer Care Delivery
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Care for a Patient With Cancer As a Project: Management of Complex Task Interdependence in Cancer Care Delivery

机译：癌症患者护理项目：癌症护理服务中复杂任务相互依赖性的管理

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摘要

Cancer care is highly complex and suffers from fragmentation and lack of coordination across provider specialties and clinical domains. As a result, patients often find that they must coordinate care on their own. Coordinated delivery teams may address these challenges and improve quality of cancer care. Task interdependence is a core principle of rigorous teamwork and is essential to addressing the complexity of cancer care, which is highly interdependent across specialties and modalities. We examined challenges faced by a patient with early-stage breast cancer that resulted from difficulties in understanding and managing task interdependence across clinical domains involved in this patient’s care. We used team science supported by the project management discipline to discuss how various task interdependence aspects can be recognized, deliberately designed, and systematically managed to prevent care breakdowns. This case highlights how effective task interdependence management facilitated by project management methods could markedly improve the course of a patient’s care. This work informs efforts of cancer centers and practices to redesign cancer care delivery through innovative, practical, and patient-centered approaches to management of task interdependence in cancer care. Future patient-reported outcomes research will help to determine optimal ways to engage patients, including those who are medically underserved, in managing task interdependence in their own care.
机译：癌症护理非常复杂，并且在医疗服务提供者的专业和临床领域之间存在分散和缺乏协调的问题。结果，患者经常发现他们必须自己协调护理。协作的交付团队可以应对这些挑战并提高癌症护理质量。任务相互依赖性是严格团队合作的核心原则，对于解决癌症护理的复杂性至关重要，而癌症护理在各个专业和模式之间是高度相互依赖的。我们研究了早期乳腺癌患者面临的挑战，这些挑战是由于难以理解和管理该患者护理所涉及的各个临床领域的任务相互依赖性而造成的。我们使用了由项目管理学科支持的团队科学来讨论如何识别，故意设计和系统地管理各种任务相互依赖的方面，以防止护理失败。该案例强调了项目管理方法所促进的有效任务相互依赖管理如何显着改善患者的护理过程。这项工作通过创新，实用和以患者为中心的方法来管理癌症护理中的任务相互依存关系，为癌症中心和实践重新设计癌症护理提供了信息。未来患者报告的结局研究将有助于确定使患者（包括医疗状况欠佳的患者）参与在自己的护理中管理任务相互依存关系的最佳方法。

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