Reconsidering the team concept: Educational implications for patient-centered cancer care

PATIENT EDUCATION AND COUNSELING

卷:77

Article

Haidet, Paul^1,2  Fecile, Mary Lynn³  West, Heather F.^4,5  Teal, Cayla R.^6,7 

[1] Penn State Univ, Coll Med, Off Med Educ, Hershey, PA 17033 USA

[2] Penn State Univ, Coll Med, Dept Med, Hershey, PA 17033 USA

[3] Penn State Univ, Coll Med, Div Pediat Hematol Oncol, Hershey, PA 17033 USA

[4] Baylor Coll Med, Lester & Sue Smith Breast Ctr, Houston, TX 77030 USA

[5] Baylor Coll Med, Dept Med, Houston, TX 77030 USA

[6] Baylor Coll Med, DeBakey Vet Affairs Med Ctr, Houston Ctr Qual Care & Utilizat Studies, Houston, TX 77030 USA

[7] Baylor Coll Med, Sect Hlth Serv Res, Houston, TX 77030 USA

关键词: Physician-patient relations;    Patient-centered care;    Medical oncology;    Radiation oncology;    Oncology service;   

DOI  :  10.1016/j.pec.2009.09.020

来源: Elsevier

【 摘 要 】

Patient-centered cancer care has become a priority in the oncology field. Increasing efforts to train oncologists in communication skills have led to a growing literature on patient-centered cancer education. In addition, systems approaches have led to an increased emphasis on the concept of teams as an Organizing framework for cancer care. In this essay, we examine issues involved in educating teams to provide patient-centered cancer care. in the process, we question the applicability of a tightly coordinated 'team' concept, and suggest the concept of a 'care community' as a more achievable ideal for the way that cancer care is commonly delivered. We discuss the implications that this has for cancer communication education, and Propose three principles to guide the development of educational interventions aimed at increasing patient-centeredness in cancer care delivery systems. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free