Contextualising implementation interventions for promoting outpatient integrative Chinese–western oncology service delivery and utilisation in Hong Kong: a Delphi study.
Introduction: The rapidly rising incidence and prevalence of cancer pose a financial burden on Hong Kong's health system. This study aimed to co-create an outpatient integrative oncology (IO) service delivery model for the territory that bridges the District Health Centres (DHCs; local coordinators...
| Publicado en: | BMC Complementary Medicine & Therapies Vol. 25; no. 1; pp. 1 - 16 |
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| Autores principales: | , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
BioMed Central
3/28/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184166150&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184166150 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26627671 MFH8 jtl: BMC Complementary Medicine & Therapies issn: 26627671 maglogo: N pubinfo: dt: 3/28/2025 vid: 25 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 184166150 184166150 184166150 10.1186/s12906-025-04779-0 184166150 ppf: 1 ppct: 15 formats: tig: atl: Contextualising implementation interventions for promoting outpatient integrative Chinese–western oncology service delivery and utilisation in Hong Kong: a Delphi study. aug: au: Ho, Leonard Kwong, Ming Hong Li, Angus S. C. Ho, Fai Fai Zhong, Claire C. W. Wong, Charlene H. L. Chung, Vincent C. H. affil: https://ror.org/00t33hh48 Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Shatin, Hong Kong sug: subj: Ambulatory Care Integrative Medicine Oncology Health Promotion Health Care Delivery, Integrated Primary Health Care Private Practice Oncologists Psychosocial Factors Attitude of Health Personnel Stakeholder Participation Implementation Science Human Funding Source Male Female Adult Middle Age Hong Kong Delphi Technique Qualitative Studies Semi-Structured Interview Questionnaires Outpatients Medicine, Chinese Traditional Interprofessional Relations Evaluation Collaboration Oncology Nurses Clinical Nurse Specialists Oncologic Care Financial Stress Neoplasms Epidemiology Neoplasms Prevention and Control Neoplasms Therapy Exploratory Research Conceptual Framework Descriptive Statistics Comparative Studies Summated Rating Scaling Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Introduction: The rapidly rising incidence and prevalence of cancer pose a financial burden on Hong Kong's health system. This study aimed to co-create an outpatient integrative oncology (IO) service delivery model for the territory that bridges the District Health Centres (DHCs; local coordinators for medical and social service providers), private traditional Chinese medicine practitioners (TCMPs), and private oncologists and to establish stakeholder-recommended implementation interventions (IIs) for promoting service delivery and utilisation. Methods: We conducted individual semi-structured contextual interviews to develop a preferred outpatient model that would enable DHC-based IO interprofessional collaborations and to refine relevant IIs developed for facilitating the implementation of the model. Then, we conducted a Delphi survey to contextualise and finalise the IIs using the APEASE criteria. Results: After interviewing 11 local stakeholders, a model was proposed that IO specialist nurses in DHCs would coordinate referrals between private TCMPs and oncologists and evaluate service delivery. Thirty-six IIs were refined to support model implementation. This model presented the possible role of cancer nurse specialists in leading and coordinating interprofessional cancer care between traditional and conventional medicine. In the Delphi study, 21 local stakeholders achieved positive consensus on 35 IIs (agreement 76.2–100%). Affordability was the most critical criterion in determining the recommendation of IIs. Conclusions: Along with the 35 local stakeholder-recommended IIs, our proposed nurse-led model provided insights into forging the partnership between the nurse specialists, private TCMPs, and oncologists to provide outpatient IO services. Further research is expected to seek opinions from policymakers regarding the potential administrative implementation determinants. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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