GERONTE H2020 Project - GERDAT002 - Composition of the health care professional consortium

<strong>The present document is a dataset generated as part of Deliverable D1.1. of the GERONTE project, which has received funding from the European Union’s Horizon 2020 Programme under Grant Agreement N°945218. It aims to provide the geriatric oncology professional community</strong> <strong>with a dataset of core health care professionals that should be involvoed in the evaluation and treatment trajectories of older patients with cancer and multimorbidity.</strong> GERONTE is a 5-year research and innovation project (April 2021 to Mars 2026) funded by the European Union within the framework of the H2020 Research and Innovation programme, in response to the health societal challenge topic SC1-BHC-24-2020 “Healthcare interventions for the management of the elderly multimorbid patient”. The overall aim of GERONTE is to improve quality of life - defined as well-being on three levels: global health status, physical functioning and social functioning- for older multimorbid patients, while reducing overall costs of care. To this end, GERONTE will co-design, test, and prepare for deployment an innovative cost-effective patient-centred holistic health management system, hereafter referred to as the GERONTE intervention. GERONTE intervention will rely on an ICT based application for real-time collection and integration of standardised clinical and home patient-reported data. GERONTE intervention will be demonstrated in the context of care of multimorbid patients having cancer as a dominant morbidity, and be adaptable to any other combination of morbidities. An important component of the GerOnTe care pathway was to determine which health care professionals should be included in the health care professional consortium (HPC) providing care for the patient. Beforehand, we had considered the option of four core members and at least eight other participants depending on the patient’s specificities or profile. Based on clinical experience, we developed a list of 15 potential participants, including general practitioner, one or more oncology specialists (such as surgeons, medical oncologists, radiotherapists), geriatrician, oncology nurse, social worker, clinical pharmacist, physiotherapist, anaesthesiologist, home care nurse, dietician, occupational therapist, spiritual helpers/clerics, psychologist/psychiatrist, palliative care specialist, organ-specific physician(s) such as cardiologist, pulmonologist, nephrologist, rheumatologist etc. This list was presented to the expert panel, and they were asked to determine whether or not these participants should be involved in decision-making and/or the subsequent oncologic care trajectory; experts could specify if these participants should be involved for all patients, only in specific situations/profiles, or did not need to be involved. The results of this expert panel survey and the subsequent composition of the health care professional consortium forms the basis of this dataset.本数据集系GERONTE项目可交付成果D1.1（Deliverable D1.1）所生成，该项目已获得欧盟“地平线2020”（Horizon 2020）计划下编号为945218的拨款协议资助。本数据集旨在面向老年肿瘤学专业从业者群体，提供一份核心医疗从业人员名录，此类人员应参与老年癌症共病患者的评估与治疗路径规划。 GERONTE是一项为期5年的研究与创新项目（2021年4月至2026年3月），由欧盟在“地平线2020”研究与创新框架计划下资助，响应了健康社会挑战主题SC1-BHC-24-2020“老年共病患者管理的医疗干预措施”。该项目的总体目标是改善老年共病患者的生活质量——生活质量定义为全球健康状况、身体功能与社会功能三个维度的福祉水平，同时降低整体医疗成本。 为此，GERONTE项目将协同设计、测试并筹备部署一款创新的、具备成本效益的以患者为中心的整体健康管理系统，下文简称GERONTE干预方案。该干预方案将依托信息与通信技术（ICT）应用程序，实现标准化临床数据与患者自主上报的居家数据的实时采集与整合。GERONTE干预方案将以癌症为主要共病的共病患者照护场景为示范，并可适配其他任意共病组合。 GerOnTe照护路径的一项核心内容是确定哪些医疗从业人员应加入为患者提供照护的医疗从业人员联盟（Healthcare Professional Consortium, HPC）。此前，项目组曾考虑根据患者的具体特征或画像，设置4名核心成员与至少8名其他参与者的方案。基于临床经验，我们拟定了一份包含15名潜在参与者的清单，涵盖全科医生、一名或多名肿瘤专科医师（如外科医师、医学肿瘤学家、放射治疗师）、老年科医师、肿瘤专科护士、社会工作者、临床药师、物理治疗师、麻醉医师、居家护理护士、营养师、作业治疗师、精神援助人员/神职人员、心理学家/精神病学家、姑息治疗专科医师，以及器官专科医师（如心脏病学家、肺科医师、肾病学家、风湿病学家等）。 该清单已提交至专家小组，要求专家小组判定这些参与者是否应参与决策制定及/或后续的肿瘤照护路径；专家可明确这些参与者应适用于所有患者、仅在特定场景/患者画像下适用，或无需参与。本次专家小组调研的结果，以及后续确定的医疗从业人员联盟组成，构成本数据集的核心内容。