Med Decis Making - Web-based cancer communication and decision making systems: connecting patients, caregivers, and clinicians for improved health outcomes.

Tópicos

{ research(1218) medic(880) student(794) }
{ decis(3086) make(1611) patient(1517) }
{ system(1050) medic(1026) inform(1018) }
{ cancer(2502) breast(956) screen(824) }
{ care(1570) inform(1187) nurs(1089) }
{ case(1353) use(1143) diagnosi(1136) }
{ implement(1333) system(1263) develop(1122) }
{ monitor(1329) mobil(1314) devic(1160) }
{ health(1844) social(1437) communiti(874) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ compound(1573) activ(1297) structur(1058) }
{ health(3367) inform(1360) care(1135) }
{ framework(1458) process(801) describ(734) }
{ control(1307) perform(991) simul(935) }
{ data(2317) use(1299) case(1017) }
{ search(2224) databas(1162) retriev(909) }
{ spatial(1525) area(1432) region(1030) }
{ intervent(3218) particip(2042) group(1664) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ error(1145) method(1030) estim(1020) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
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{ featur(1941) imag(1645) propos(1176) }
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{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Over the cancer disease trajectory, from diagnosis and treatment to remission or end of life, patients and their families face difficult decisions. The provision of information and support when most relevant can optimize cancer decision making and coping. An interactive health communication system (IHCS) offers the potential to bridge the communication gaps that occur among patients, family, and clinicians and to empower each to actively engage in cancer care and shared decision making. This is a report of the authors' experience (with a discussion of relevant literature) in developing and testing a Web-based IHCS-the Comprehensive Health Enhancement Support System (CHESS)-for patients with advanced lung cancer and their family caregivers. CHESS provides information, communication, and coaching resources as well as a symptom tracking system that reports health status to the clinical team. Development of an IHCS includes a needs assessment of the target audience and applied theory informed by continued stakeholder involvement in early testing. Critical issues of IHCS implementation include 1) need for interventions that accommodate a variety of format preferences and technology comfort ranges; 2) IHCS user training, 3) clinician investment in IHCS promotion, and 4) IHCS integration with existing medical systems. In creating such comprehensive systems, development strategies need to be grounded in population needs with appropriate use of technology that serves the target users, including the patient/family, clinical team, and health care organization. Implementation strategies should address timing, personnel, and environmental factors to facilitate continued use and benefit from IHCS.

Resumo Limpo

cancer diseas trajectori diagnosi treatment remiss end life patient famili face difficult decis provis inform support relev can optim cancer decis make cope interact health communic system ihc offer potenti bridg communic gap occur among patient famili clinician empow activ engag cancer care share decis make report author experi discuss relev literatur develop test webbas ihcsth comprehens health enhanc support system chessfor patient advanc lung cancer famili caregiv chess provid inform communic coach resourc well symptom track system report health status clinic team develop ihc includ need assess target audienc appli theori inform continu stakehold involv earli test critic issu ihc implement includ need intervent accommod varieti format prefer technolog comfort rang ihc user train clinician invest ihc promot ihc integr exist medic system creat comprehens system develop strategi need ground popul need appropri use technolog serv target user includ patientfamili clinic team health care organ implement strategi address time personnel environment factor facilit continu use benefit ihc

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