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患者导航模式对我国医联体背景下肺癌全程管理的应用启示

Utilizing Patient Navigation Model in the Whole-Process Management of Lung Cancer in the Context of Medical Consortiums in China: Insights and Reflections

  • 摘要: 患者导航模式是促进医疗系统服务整合的有效干预措施,通过提供个性化、协调性和连续性的照护服务,解决肺癌患者全程管理跨层级跨机构服务碎片化困境,为具有复杂保健需求的患者提供帮助。本文主要综述了患者导航的起源与发展、模式和国内外应用现状,并分析了将患者导航引入我国医联体背景下肺癌全程管理的思考,包括引入患者导航的原因、做法,以及面临的潜在挑战及应对策略。患者导航顺应目前健康中国战略背景下提供公平可及、系统连续的一体化慢病防治的服务需求,能够弥补国内医联体背景下肺癌患者全程管理连续性和协调性不足的问题。然而,在跨层级跨机构的医联体中引入患者导航模式可能遇到机构之间信息系统不兼容、协作和沟通不畅、资源有限等方面的挑战,尚需进一步完善医联体内医疗信息化建设、协调沟通机制和利益分配机制等问题。本文旨在为构建我国本土化患者导航模式,以及推动医联体背景下肺癌全程管理的实现和发展提供启示和建议。

     

    Abstract: Patient navigation is an effective intervention measure to promote the integration of medical systems and services. By providing individualized, coordinated, and continuous care, patient navigation offers a way to address the problem of fragmented services across institutions and levels of care in the whole-process management of lung cancer, providing assistance to patients with complex healthcare needs. Herein, we reviewed the origin, the development, the models, and the application status of patient navigation in China and other countries. We also analyzed the considerations regarding introducing patient navigation in the whole-process management of lung cancer against the background of medical consortiums in China, discussing why patient navigation should be introduced, how to introduce patient navigation, as well as potential challenges and coping strategies. Patient navigation meets the current needs for equitable, accessible, systematic, continuous, and integrated prevention and treatment services for chronic diseases in the context of the Healthy China Strategy. It helps fill the gaps in the continuity and coordination of whole-process management of lung cancer patients in the context of medical consortiums. However, introducing patient navigation in medical consortiums involving multiple institutions and levels of care may face challenges, including incompatibility between the health information systems of different institutions, poor cross-institutional collaboration and communication, and limited resources. Further improvement is needed in medical informatization, coordination and communication mechanisms, and benefit distribution mechanisms within the medical consortiums. In this paper, we intend to provide insights and suggestions for developing patient navigation models that suit China's local characteristics and for promoting the implementation and development of whole-process management of lung cancer in the context of the medical consortium system.

     

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