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Medical oncology in the next century

NETHERLANDS JOURNAL OF MEDICINE 1999年第6期55卷 310-315页

作者： de Vries, EGE Mulder, NH Sleijfer, DT Univ Groningen Hosp Dept Med Oncol NL-9700 RB Groningen Netherlands

Medical oncology is a relatively young, rapidly growing subspecialty of internal medicine. This discipline will increasingly fulfil a role in the multidisciplinary approach for cancer patients. The fact that the population is rapidly aging, makes it of relevance to train medical oncologists further in the treatment of elderly patients. The growing number of cancer survivors deserves also special attention in order to limit the frequency of long-term side effects. Apart from the classical function as a doctor who treats cancer patients with drugs, the medical oncologist will play an expanding role at the far ends of oncology, namely in prevention and palliative care. Basic sciences create a tremendous amount of new knowledge on cancer detection, behavior and rational drug design. An important task for the medical oncologist will be to translate this expertise to the clinical scenario. The expanding requirement of specific skills of medical oncologists in the next century is likely to cause a further subspecialization within medical oncology.

关键词：癌症医护设施/组织和管理医学肿瘤学/发展趋势荷兰转诊和会诊/发展趋势女(雌)性人类男(雄)性

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Progress in establishing non-surgical oncology within English cancer units

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BRITISH JOURNAL OF CANCER 2000年第3期83卷 284-286页

作者： Haward, RA Amir, Z Cookridge Hosp Northem & Yorkshire Canc Registry & Informat Serv Leeds LS16 6QB W Yorkshire England

In 1995 the Department of Health recommended a minimum standard of five non-surgical oncology sessions per week at Cancer Units. Postal surveys of cancer units in England were conducted in 1996 and 1999 to establish the level of provision. Substantial progress has been made from 20-60% of responding units meeting the minimum standard. (C) 2000 Cancer Research Campaign.

关键词：癌症医护设施/人力癌症医护设施/组织和管理癌症医护设施/统计学和数值数据英格兰医学肿瘤学/人力医学肿瘤学/组织和管理医学肿瘤学/统计学和数值数据肿瘤科医院/人力肿瘤科医院/组织和管理肿瘤科医院/统计学和数值数据问卷调查人类

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Perceptions of cancer care by professionals and nonprofessionals

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Evaluation & the Health Professions 1978年第3期1卷 29-56页

作者： Hayes, Donald M. Department of Community Medicine University of Texas Medical School Houston United States

Critical incident descriptions were obtained by questionnaire from 472 practicing physicians, 59 medical students, 31 house officers, 50 clinical faculty, and 43 allied health professionals. Descriptions were obtained by interview from 660 cancer patients and their families, and from 250 noncancer patients. The resulting 4,877 vignettes were analyzed and dissected to yield 13,009 separate, identifiable critical behaviors, i.e., behaviors deemed critical to the delivery of optimal care. After elimination of duplication and those items not specifically relevant to cancer, there remained 339 distinct attributes of an effective cancer care system. The results confirmed that the nonprofessionals are most concerned with items in the affective domain while the professionals are most concerned with items of a technological nature. However, there was a good deal of overlap in these areas of concern, and it appears from it that “needs” as expressed by professionals and “wants” as expressed by nonprofessionals often represent the same things couched in different terms. This study also yielded a list of desirable competencies of value as educational objectives for programs of profes sional education in cancer care. © 1978, Sage Publications. All rights reserved.

关键词：医务工作者的态度癌症医护设施/组织和管理用户满意卫生服务需求医院专科/组织和管理肿瘤/治疗北卡罗来纳医生病人关系卫生保健质量问卷调查成年人老年人人类中年人

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Behavioral science research in the cooperative group setting: The Southwest Oncology Group experience

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JOURNAL OF THE NATIONAL CANCER INSTITUTE 2000年第17期92卷 1381-1387页

作者： Gotay, CC Moinpour, CM Moody-Thomas, S Gritz, ER Albain, KS DeAntoni, E Hansen, L Ganz, PA Univ Hawaii Canc Res Ctr Hawaii Honolulu HI 96813 USA SW Oncol Grp Ctr Stat Seattle WA USA Louisiana State Univ Ctr Hlth Sci Stanley S Scott Canc Ctr New Orleans LA USA Univ Texas MD Anderson Canc Ctr Houston TX USA Loyola Univ Stritch Sch Med Maywood IL USA Univ Colorado Hlth Sci Ctr Denver CO USA Columbia River Community Clin Oncol Program Portland OR USA Univ Calif Los Angeles Jonsson Comprehens Canc Ctr Los Angeles CA USA

Background Cancer prevention, detection, treatment, and continuing care require individuals to behave in specified ways, whether abstaining from certain behaviors (e.g., sun exposure) or adopting others (e.g., following recommendations for state-of-the-art treatment). Thus, behavior is one of the keys to controlling cancer. Much progress in cancer control has stemmed from behavioral research and interventions. For example, reductions in tobacco use are largely responsible for lower rates of lung cancer (1), and increased use of mammography has led to decreases in breast cancer mortality (2). Moreover, a recent meta-analysis of psychosocial interventions in adult cancer patients (3) concluded that such interventions have a positive effect on emotional, physical, and social outcomes. According to Dr. Richard Klausner (4), Director of the National Cancer Institute (NCI), Bethesda, MD, “behavioral research is fundamental to the mission of [NCI] and the broader social goal of reducing cancer incidence, morbidity, and mortality.” Clinical cooperative groups represent a rich potential resource to promote and support behavioral research in cancer. Each year, more than 20 000 new patients participate in cooperative group clinical trials, most of which test cancer therapies, that are conducted under the auspices of the NCI's Division of Cancer Therapy and Diagnosis. In addition, most cooperative groups also sponsor behavioral research studies, although this emphasis is relatively new. In this commentary, we illustrate the distinct contributions and challenges that behavioral studies pose within the cooperative group setting, drawing on our experiences over the past 10 years as members of the Southwest Oncology Group (SWOG). Behavioral Research in the SWOG Outcome Assessment Research The first formalized behavioral science research activities in the SWOG focused on developing methods for outcome assessment: specifically, incorporating quality-of-life (QOL) end points within cl

关键词：乳腺肿瘤/预防和控制乳腺自我检查癌症医护设施/组织和管理西班牙裔美国人肺肿瘤/心理学多中心研究(主题) 肿瘤/诊断肿瘤/预防和控制肿瘤/心理学肿瘤/治疗结果评价(卫生保健) 一级预防前列腺肿瘤/预防和控制质量控制生活质量复发美国西南部女(雌)性人类男(雄)性

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Interorganizational theory and research: implications for health care management, policy, and research.

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Medical care review 1991年第4期48卷 371-409页

作者： Sofaer, S. Myrtle, R.C. George Washington University Medical Center Washington 20037. DC United States

Focuses on the organizational theory of health care environments. Indepth look at the management of health care as a perspective of interorganizational relations; Theoretical aspects of interorganizational relations; ... 详细信息

关键词：癌症医护设施/组织和管理决策组织卫生设施/组织和管理卫生政策卫生服务研究/方法医院管理机构间关系运筹学组织文化政策制订美国

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The ambulatory cancer center: Addressing the needs of physicians, patients, and payers

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Journal of Ambulatory Care Marketing 1987年第1期1卷 53-57页

作者： Bertelsen, Judy Boston's Sidney Farber Cancer Institute United States

Effective health care marketing begins with an excellent product that addresses the needs and preferences of key consumers of services. Sophisticated marketing proceeds from an understanding that healthcare “markets” now include physician, payer, and patient components. An ambulatory cancer center can meet the needs of all three of these crucial components. This article describes key characteristics of an ambulatory cancer center and shows how the ambulatory center addresses important concerns of physicians, payers, and patients. © 1987 by The Haworth Press, Inc. All rights reserved.