Electronic patient self-assessment and management (SAM): a novel framework for cancer survivorship

BMC Medical Informatics and Decision Making

Correspondence

Andrew J Vickers¹  James Eastham¹  Talya Salz¹  Ethan Basch¹  Matthew R Cooperberg²  Peter R Carroll²  Raymond C Rosen³  Foss Tighe³ 

[1] Department of Epidemiology and Biostatistics (AJV, TS, EB) and Department of Surgery (JE), Memorial Sloan-Kettering Cancer Center, New York, USA;Department of Urology (MRC, PRC), University of California, San Francisco, San Francisco, USA;New England Research Institutes, Inc., Watertown, MA, USA;

关键词: Prostate Cancer;    Cancer Survivorship;    Radical Prostatectomy;    Survivorship Care Plan;    Open Retropubic Radical Prostatectomy;   

DOI  :  10.1186/1472-6947-10-34

 received in 2010-02-10, accepted in 2010-06-17,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundWe propose a novel framework for management of cancer survivorship: electronic patient Self-Assessment and Management (SAM). SAM is a framework for transfer of information to and from patients in such a way as to increase both the patient's and the health care provider's understanding of the patient's progress, and to help ensure that patient care follows best practice.MethodsPatients who participate in the SAM system are contacted by email at regular intervals and asked to complete validated questionnaires online. Patient responses on these questionnaires are then analyzed in order to provide patients with real-time, online information about their progress and to provide them with tailored and standardized medical advice. Patient-level data from the questionnaires are ported in real time to the patient's health care provider to be uploaded to clinic notes. An initial version of SAM has been developed at Memorial Sloan-Kettering Cancer Center (MSKCC) and the University of California, San Francisco (UCSF) for aiding the clinical management of patients after surgery for prostate cancer.ResultsPilot testing at MSKCC and UCSF suggests that implementation of SAM systems are feasible, with no major problems with compliance (> 70% response rate) or security.ConclusionSAM is a conceptually simple framework for passing information to and from patients in such a way as to increase both the patient's and the health care provider's understanding of the patient's progress, and to help ensure that patient care follows best practice.

【 授权许可】

CC BY   
© Vickers et al; licensee BioMed Central Ltd. 2010