Advances in cancer care have led to improved survival, which, coupled with demographic trends, have contributed to rapid growth in the number of patients needing cancer care services. However, with increasing caseload, care complexity, and administrative burden, the current workforce is ill equipped to meet these burgeoning new demands. These trends have contributed to clinician burnout, compounding a widening workforce shortage. Moreover, family caregivers, who have unique knowledge of patient preferences, symptoms, and goals of care, are infrequently appreciated and supported as integral members of the oncology “careforce.” A crisis is looming, which will hinder access to timely, high-quality cancer care if left unchecked. Stemming from the proceedings of a 2019 workshop convened by the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine, this commentary characterizes the factors contributing to an increasingly strained oncology careforce and presents multilevel strategies to improve its efficiency, effectiveness, and resilience. Together, these will enable today’s oncology careforce to provide high-quality care to more patients while improving the patient, caregiver, and clinician experience.

中文翻译：

---

发展和维持有效和有弹性的肿瘤护理人员：采取行动的机会。

癌症护理的进步导致生存率的提高，再加上人口趋势，促使需要癌症护理服务的患者数量迅速增长。但是，随着案件数量的增加，护理工作的复杂性和管理负担的增加，当前的劳动力不足以适应这些迅速增长的新需求。这些趋势加剧了临床医生的职业倦怠，加剧了劳动力短缺的情况。此外，对患者的喜好，症状和护理目标具有独特知识的家庭护理人员，很少被赞赏和支持为肿瘤学“护理人员”的组成部分。危机迫在眉睫，如果任其发展，这将阻碍人们获得及时，高质量的癌症护理。该评论摘自由美国国家科学，工程和医学研究院国家癌症政策论坛（National Cancer Policy Forum）于2019年召开的研讨会的议事日程，该评论描述了导致肿瘤科医护人员日益紧张的因素，并提出了多层次的策略来提高其效率，有效性，和韧性。这些都将使当今的肿瘤护理人员能够为更多的患者提供高质量的护理，同时改善患者，护理人员和临床医生的经验。