阿摩線上測驗
37. Based on the article, which of the following statements about survivorship programs is NOT true?
(A) Many hospitals lack trained staff to facilitate these programs.
(B) Hsopitals are requested by national health organizations for accreditation.
(C) The programs require resources and their benefits are recognized.
(D) Many survivors have access to receiving these types of care programs.
答案：登入後查看
統計： A(8), B(7), C(7), D(63), E(0) #3421572
統計： A(8), B(7), C(7), D(63), E(0) #3421572
詳解 (共 2 筆)
Astr
#7289675
美國癌症康復照護（Survivorship Care）的現狀，內容涉及服務的普及率、資源短缺及推廣障礙。
This survey study examined the availability and types of survivorship services for adult-onset cancer across ACS CoC–accredited programs, which provide cancer care to 75% of U.S. patients. The findings highlight both widespread availability of certain services and significant gaps, identifying areas for improvement. Establishing this national benchmark enables tracking progress and assessing new approaches in survivorship care.
這項調查研究檢視了全美 ACS CoC 認證機構（這些機構為 75% 的美國患者提供癌症照護）中，針對成年發病癌症患者所提供的康復服務之可用性與類型。研究結果強調了某些服務的普遍性，同時也指出顯著的缺口，並確認了需改進的領域。建立這項國家基準有助於追蹤進展，並評估康復照護的新方法。
Despite being recognized as an essential phase of cancer treatment, survivorship care remains underdeveloped. Nearly 90% of programs offer screening for new or recurrent cancers and specialty referrals for late-effect management. However, services such as cancer genetics counseling, fertility, and sexual health support are less available, despite patient-reported importance. Additionally, few programs offer patient support groups, fitness programs, or educational series, largely due to lack of insurance reimbursement. These findings align with a 2024 study by Anampa-Guzmán et al., which also noted the underrepresentation of genetic counseling and fertility services.
儘管康復照護被公認為癌症治療的重要階段，但其發展仍不成熟。近 90% 的計畫提供針對新發或復發癌症的篩檢，以及針對晚期效應管理的專科轉診。然而，儘管患者回報其重要性，癌症遺傳諮詢、生育能力及性健康支持等服務的可用性較低。此外，由於缺乏保險給付，鮮少有計畫提供患者支持小組、健身計畫或系列教育課程。這些發現與 Anampa-Guzmán 等人於 2024 年的研究一致，該研究亦指出遺傳諮詢與生育服務的代表性不足。
Survivorship care plans and treatment summaries are intended to provide critical health information to survivors and practitioners. While recent studies question their value due to high resource demands, over 90% of programs still provide them, suggesting either perceived benefits or the lingering effects of accreditation requirements.
康復照護計畫與治療總結旨在為康復者及醫療從業人員提供關鍵的健康資訊。雖然近期研究因資源需求高而質疑其價值，但仍有超過 90% 的計畫提供這些服務，這暗示了機構可能感知到其益處，或是受到認證要求的持續影響。
Most programs integrate survivorship care within the cancer treatment team, while only one-third offer specialized survivorship clinics. This contrasts with pediatric oncology, where late-effects clinics are standard. Specialized clinics are more common in comprehensive cancer centers than in community-based settings. The American Society of Clinical Oncology supports a disease-and treatment-specific survivorship model, which may be more practical for adult-onset cancers given their higher prevalence. Further research is needed to determine optimal care models based on cancer type, age, and risk factors.
大多數計畫將康復照護整合在癌症治療團隊中，僅三分之一提供專門的康復門診。這與小兒腫瘤科形成對比，在小兒科中，晚期效應門診是標準配置。專門門診在綜合癌症中心比在社區醫療機構更常見。美國臨床腫瘤學會支持針對特定疾病與治療的康復模式，鑑於成年發病癌症的盛行率較高，這種模式可能更具實踐意義。未來仍需進一步研究，以根據癌症類型、年齡與風險因素確定最佳照護模式。
Institutional support for survivorship programs remains limited. Programs report lacking funding, dedicated staff, marketing, philanthropy, and technological infrastructure. The most needed resources include dedicated advanced practice clinicians (APCs), improved IT support, and greater internal visibility. Surprisingly, acquiring survivorship physicians, external marketing, research, and philanthropy were lower priorities.
機構對康復計畫的支持仍然有限。計畫回報缺乏資金、專職人員、行銷、慈善捐助及技術基礎設施。最需要的資源包括專職的高階執業臨床醫生（APCs）、改善的資訊技術支持以及更高的內部知名度。令人驚訝的是，招募康復專科醫師、外部行銷、研究及慈善捐助的優先順序較低。
Although nearly 90% of programs recognize the benefits of survivorship services, only a minority of patients receive them. The primary barriers are low referral rates from oncologists and limited patient awareness. Addressing these issues requires institutional investment in staff, enhancements to electronic health record systems, better patient education materials, and clearer referral protocols. Research is needed to evaluate the impact of these initiatives.
儘管近 90% 的計畫認可康復服務的益處，但僅有少數患者接受了這些服務。主要的障礙在於腫瘤科醫師的轉診率低以及患者意識有限。解決這些問題需要機構對人員進行投資、強化電子健康紀錄系統、提供更好的患者衛教資料以及更明確的轉診流程。此外，還需要研究來評估這些舉措的影響。
儘管康復照護被公認為癌症治療的重要階段，但其發展仍不成熟。近 90% 的計畫提供針對新發或復發癌症的篩檢，以及針對晚期效應管理的專科轉診。然而，儘管患者回報其重要性，癌症遺傳諮詢、生育能力及性健康支持等服務的可用性較低。此外，由於缺乏保險給付，鮮少有計畫提供患者支持小組、健身計畫或系列教育課程。這些發現與 Anampa-Guzmán 等人於 2024 年的研究一致，該研究亦指出遺傳諮詢與生育服務的代表性不足。
Survivorship care plans and treatment summaries are intended to provide critical health information to survivors and practitioners. While recent studies question their value due to high resource demands, over 90% of programs still provide them, suggesting either perceived benefits or the lingering effects of accreditation requirements.
康復照護計畫與治療總結旨在為康復者及醫療從業人員提供關鍵的健康資訊。雖然近期研究因資源需求高而質疑其價值，但仍有超過 90% 的計畫提供這些服務，這暗示了機構可能感知到其益處，或是受到認證要求的持續影響。
Most programs integrate survivorship care within the cancer treatment team, while only one-third offer specialized survivorship clinics. This contrasts with pediatric oncology, where late-effects clinics are standard. Specialized clinics are more common in comprehensive cancer centers than in community-based settings. The American Society of Clinical Oncology supports a disease-and treatment-specific survivorship model, which may be more practical for adult-onset cancers given their higher prevalence. Further research is needed to determine optimal care models based on cancer type, age, and risk factors.
大多數計畫將康復照護整合在癌症治療團隊中，僅三分之一提供專門的康復門診。這與小兒腫瘤科形成對比，在小兒科中，晚期效應門診是標準配置。專門門診在綜合癌症中心比在社區醫療機構更常見。美國臨床腫瘤學會支持針對特定疾病與治療的康復模式，鑑於成年發病癌症的盛行率較高，這種模式可能更具實踐意義。未來仍需進一步研究，以根據癌症類型、年齡與風險因素確定最佳照護模式。
Institutional support for survivorship programs remains limited. Programs report lacking funding, dedicated staff, marketing, philanthropy, and technological infrastructure. The most needed resources include dedicated advanced practice clinicians (APCs), improved IT support, and greater internal visibility. Surprisingly, acquiring survivorship physicians, external marketing, research, and philanthropy were lower priorities.
機構對康復計畫的支持仍然有限。計畫回報缺乏資金、專職人員、行銷、慈善捐助及技術基礎設施。最需要的資源包括專職的高階執業臨床醫生（APCs）、改善的資訊技術支持以及更高的內部知名度。令人驚訝的是，招募康復專科醫師、外部行銷、研究及慈善捐助的優先順序較低。
Although nearly 90% of programs recognize the benefits of survivorship services, only a minority of patients receive them. The primary barriers are low referral rates from oncologists and limited patient awareness. Addressing these issues requires institutional investment in staff, enhancements to electronic health record systems, better patient education materials, and clearer referral protocols. Research is needed to evaluate the impact of these initiatives.
儘管近 90% 的計畫認可康復服務的益處，但僅有少數患者接受了這些服務。主要的障礙在於腫瘤科醫師的轉診率低以及患者意識有限。解決這些問題需要機構對人員進行投資、強化電子健康紀錄系統、提供更好的患者衛教資料以及更明確的轉診流程。此外，還需要研究來評估這些舉措的影響。
Many findings align with qualitative studies of U.S. survivorship programs, such as those by Manne and Nekhlyudov, which also reported variations in services and clinical models. While some programs leverage electronic health records for communication, enhanced modules for treatment summaries are underutilized. Critical resources include sustainable funding, informatics for tracking outcomes, and institutional backing to develop viable business plans.
許多發現與 Manne 和 Nekhlyudov 等對美國康復計畫進行的定性研究一致，這些研究也報告了服務與臨床模式的差異。雖然部分計畫利用電子健康紀錄進行溝通，但用於治療總結的增強模組仍未被充分利用。關鍵資源包括永續資金、追蹤成效的資訊學支持，以及開發可行商業計畫的機構支持。
This study provides quantitative insights using data from nearly 400 CoC-accredited programs, reflecting the diversity of cancer care in the U.S. Future research adopting both quantitative and qualitative methodologies is strongly advised.
本研究利用來自近 400 個 CoC 認證計畫的數據提供了定量見解，反映了美國癌症照護的多樣性。強烈建議未來的研究同時採用定量與定性方法。
37. Based on the article, which of the following statements about survivorship programs is NOT true? 根據本文，下列關於康復計畫的陳述哪一項不正確？
(A) Many hospitals lack trained staff to facilitate these programs. 許多醫院缺乏受過訓練的員工來推動這些計畫。
(B) Hospitals are requested by national health organizations for accreditation. 國家衛生組織要求醫院進行認證。
(C) The programs require resources and their benefits are recognized. 這些計畫需要資源，且其益處受到認可。
(D) Many survivors have access to receiving these types of care programs. 許多康復者有管道接受這些類型的照護計畫。
答案（Ｄ）文章第六段提到：「only a minority of patients receive them（只有少數病患接受服務）」，原因包括轉診率低。(D) 使用 Many (許多)，直接與原文的 Minority (少數) 相反。
1
0