Patients in oncological and palliative care (PC) often have complex needs, which require a comprehensive treatment approach. The assessment of patient-reported outcomes (PROs) has been shown to improve identification of patient needs and foster adjustment of treatment. This study explores occupational routines, attitudes and expectations of physicians and nurses with regards to a planned electronic assessment system of PROs. Ten physicians and nine nurses from various PC settings in Southern Germany were interviewed. The interviews were analysed with qualitative content analysis. The interviewees were sceptical about the quality of data generated through a patient self-assessment system. They criticised the rigidity of the electronic assessment questionnaire, which the interviewees noted may not fit the profile of all palliative patients. They feared the loss of personal contact between medical staff and patients and favoured in-person conversation and on-site observations on site over the potential system. Interviewees saw potential in being able to discover unseen needs from some patients. Interviewees evaluated the system positively in the case that the system served to broadly orient care plans without affecting or reducing the patient-caregiver relationship. A significant portion of the results touch upon the symbolic acceptance of the suggested system, which stands for an increasing standardisation and technisation of medicine where interpersonal contact and the professional expertise are marginalized. The study results can provide insight for processes and communication in the run-up to and during the implementation of electronic assessment systems.

中文翻译：

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医师和护士对电子评估系统的潜力的认识，该系统可识别姑息治疗患者的需求

肿瘤和姑息治疗（PC）的患者通常有复杂的需求，需要综合的治疗方法。对患者报告结果（PRO）的评估已显示出可以改善对患者需求的识别并促进治疗的调整。这项研究探讨了有关计划的PRO的电子评估系统的职业惯例，医生和护士的态度和期望。来自德国南部各种PC设置的10位医生和9位护士接受了采访。对访谈进行了定性内容分析。受访者对通过患者自我评估系统生成的数据质量表示怀疑。他们批评了电子评估问卷的僵化性，受访者指出这可能并不适合所有姑息患者。他们担心医护人员与患者之间的人际关系会失去联系，并赞成通过潜在系统进行面对面的交谈和现场观察。受访者看到了能够发现某些患者未见需求的潜力。在该系统有助于广泛地制定护理计划而不影响或减少患者与护理人员之间的关系的情况下，受访者对该系统进行了积极的评估。结果的很大一部分涉及所建议系统的象征性接受，这代表着人与人之间的接触和专业知识被边缘化的医学的日益标准化和技术化。研究结果可以为电子评估系统实施前和实施过程中的流程和沟通提供见识。