南區某醫學中心腫瘤個案管理模式及腫瘤個案管理師角色職責宣導之成效

The Effectiveness of Advocacy of the Oncology Case Management Model in a South Medical Center

腫瘤個案管理可提升腫瘤個案照護品質，國民健康署自2009年開始積極推展腫瘤個案照護模式，由於國內尚屬推展階段，照護尚無特定模式，醫護人員對腫瘤個管師之角色職責不甚清楚，因此本研究建構南區某醫學中心腫瘤個案管理照護模式與個案管理師角色職責及團隊合作模式，並探討宣導腫瘤個案管理照護模式及個案管理師角色職責之成效。本研究採介入前瞻性單組前後測設計，研究對象為某醫學中心醫師及護理師，介入措施為「腫瘤個案管理模式與個管師角色職責」宣導，資料收集以「腫瘤個案管理師角色職責認同問卷」收集介入前後醫師及護理師對腫瘤個案管理師角色職責的認同情形。研究結果共收案醫師175人，護理師468人，結果顯示醫護人員在後測每項認同分數均顯著高於前測（p<.001）。顯示宣導後醫護人員對個管師角色職責及其團隊合作模式的認同度顯著增高，並進而能提升合作度與病人之照護品質。

Oncology case management can enhance the quality of cancer patient care. Since 2009, the Health Promotion Administration began to actively promote cancer-care model. The oncology case management model was still in its infancy. There was no specific model of oncology case management, so health care providers were unclear about the role and responsibilities of an oncology case manager. The purposes of this study were constructed in a South Medical Center along with an Oncology case management model, the role and responsibilities of case manager and established a teamwork model, and also explored the effectiveness of model advocacy. This study used intervention prospective, single group pretest and posttest design study for physicians and nurse from a medical center. A total of 175 physicians and 468 nurses participated in the study. The results showed that health care providers in the posttest scores were signifi cantly higher than each of the pretest (p <.001). Health care providers on the role of case manager and team cooperation model received signifi cantly higher degree of recognition after the advocacy, and thus could improve the quality of patient's care.