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甲状腺癌患者对临床医生专业素养及多学科诊疗方法的看法。

Thyroid Cancer Patients' View of Clinician Professionalism and Multidisciplinary Approach to Their Management.

作者信息

Díez Juan J, Galofré Juan C

机构信息

Department of Endocrinology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.

Instituto de Investigación Sanitaria Puerta de Hierro Segovia de Arana (IDIPHISA), Madrid, Spain.

出版信息

J Multidiscip Healthc. 2021 May 7;14:1053-1061. doi: 10.2147/JMDH.S309953. eCollection 2021.

Abstract

OBJECTIVE

The objective of this study was to query thyroid cancer patients about 1) both the characteristics of the healthcare facilities where they were treated and the healthcare professionals that provided that treatment, as well as 2) the multidisciplinary approach used in the treatment process.

METHODS

Using a web-based survey, patients were asked to give their opinion of the healthcare centers, the professionalism of their team of specialists, and the thyroid cancer multidisciplinary teams (MDT).

RESULTS

For the 485 patients that responded, the most highly rated aspect of healthcare centers was the reduced waiting time between diagnosis and surgical intervention, an opinion expressed by 62.7% of patients. The most appreciated aspect of professionalism was the kindness shown toward patients by healthcare staff (66.6%). About 44.3% of patients were aware of the existence of thyroid cancer MDT. Most of respondents (82.7%) agreed that patients' opinions should be considered by their physicians when making treatment decisions.

CONCLUSION

We conclude that most patients with thyroid cancer appreciate therapeutic efficacy and kindness, and almost all are clearly in favor of using a multidisciplinary approach to their disease. Since such patients often demand to participate in the decision-making process, multidisciplinary teams should make every effort to share information with, and to integrate the opinion of, patients in the management of their thyroid disease.

摘要

目的

本研究的目的是询问甲状腺癌患者以下两个方面的情况:1)他们接受治疗的医疗机构的特点以及提供治疗的医护人员的情况,以及2)治疗过程中所采用的多学科方法。

方法

通过基于网络的调查,要求患者对医疗中心、专科医生团队的专业性以及甲状腺癌多学科团队(MDT)发表意见。

结果

对于485名做出回应的患者而言,医疗中心获得最高评价的方面是诊断与手术干预之间等待时间的缩短,62.7%的患者表达了这一看法。专业性方面最受赞赏的是医护人员对患者表现出的友善(66.6%)。约44.3%的患者知晓甲状腺癌多学科团队的存在。大多数受访者(82.7%)同意医生在做出治疗决策时应考虑患者的意见。

结论

我们得出结论,大多数甲状腺癌患者重视治疗效果和友善态度,并且几乎所有人都明确赞成对其疾病采用多学科方法。由于此类患者常常要求参与决策过程,多学科团队应尽一切努力在甲状腺疾病管理中与患者分享信息并整合其意见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d1a/8114825/65cb5c81a057/JMDH-14-1053-g0001.jpg

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