[1]朱静佳 姜符亮 刘雨晗 邓正聪 陶红兵.武汉市结直肠癌筛查项目管理策略优化研究[J].中国卫生质量管理,2024,31(07):076-81.[doi:10.13912/j.cnki.chqm.2024.31.7.17]
　ZHU Jingjia,JIANG Fuliang,LIU Yuhan.Optimization Study of Management Strategies for Colorectal Cancer Screening Program in Wuhan City[J].Chinese Health Quality Management,2024,31(07):076-81.[doi:10.13912/j.cnki.chqm.2024.31.7.17]
点击复制

武汉市结直肠癌筛查项目管理策略优化研究()
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年07期
页码:
076-81
栏目:
卫生技术评估专栏
出版日期:
2024-07-15

文章信息/Info

Title:
Optimization Study of Management Strategies for Colorectal Cancer Screening Program in Wuhan City
作者:
朱静佳 姜符亮 刘雨晗 邓正聪 陶红兵
华中科技大学同济医学院医药卫生管理学院
Author(s):
ZHU Jingjia; JIANG Fuliang; LIU Yuhan
School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology
关键词:
结直肠癌筛查; 主题框架分析法; 管理策略; 成本效益; 关键知情人访谈; 卫生技术评估
Keywords:
Colorectal Cancer Screening; Theme Framework Analysis; Management Strategy; Cost Effectiveness; Key Informant Interviews; Health Technology Assessment
分类号:
R197；R735.34
DOI:
10.13912/j.cnki.chqm.2024.31.7.17
文献标志码:
A
摘要:
目的优化武汉市结直肠癌筛查项目管理策略，以降低筛查成本，提高筛查效益。方法采用方便抽样法，选取39名关键知情人进行访谈。运用主题框架分析法对访谈资料进行整理分析。结果结直肠癌筛查流程包括宣传动员、实施筛查、结果告知、诊断治疗、随访管理5大关键环节，存在缺乏高危人群宣传动员方案、筛查项目开展时间较短、筛查流程较为复杂、样本质量不合格、采样包损耗、忽视健康宣教、对初筛阳性居民不能持续追踪、社区和定点医院信息共享不充分、结肠镜操作规范执行不严格等问题。结论应建立结直肠癌筛查长效机制，全面宣传动员，充分发挥基层医疗卫生机构作用，构建医院—社区闭环管理模式等。
Abstract:
ObjectiveTo optimize the management strategy of colorectal cancer screening program in Wuhan, in order to reduce screening costs and improve screening benefits. MethodsConvenience sampling was used to select 39 key informants for interviews.The topic framework analysis method was used to sort out and analyze the interview data.ResultsColorectal cancer screening included five key links: publicity mobilization, screening implementation, result notification, diagnosis and treatment, and follow-up management. There were some problems, such as lack of publicity and mobilization plan for high-risk groups, short time of screening project, complicated screening process, unqualified sample quality, loss of sampling package, neglect of health education, insufficient continuous tracking of positive residents in initial screening, inadequate information sharing between communities and designated hospitals, and lax implementation of colonoscopy operation standards. Conclusion It is necessary to establish a long-term mechanism for colorectal cancer screening, fully carry out the publicity and mobilization work, give full play to the role of primary medical and health institutions, and build a hospital-community closed-loop management mode.

参考文献/References:

［1］SUNG H,FERLAY J,SIEGEL RL,et al.Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries［J］.CA Cancer J Clin, 2021,71(3):209-249.［2］BRENNER H,CHEN C.The colorectal cancer epidemic: challenges and opportunities for primary, secondary and tertiary prevention［J］.British Journal of Cancer,2018,119(7):785-792.［3］中共中央 国务院.“健康中国2030”规划纲要［EB/OL］.(2016-10-25)［2023-12-26］.https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.［4］王扣柱,马学东,蔡雨阳,等.基于系统动力学的社区结直肠癌筛查项目动态复杂性研究［J］.中国全科医学,2017,20(31):3860-3865.［5］ALBERS B,AUER R,CACI L,et al.Implementing organized colorectal cancer screening programs in Europe—protocol for a systematic review of determinants and strategies［J］.Systematic Reviews,2023,12(1):1-9.［6］管雅喆,吴思奇,张雪,等.结直肠癌筛查成本效益研究进展［J］.中国全科医学,2021,24(33):4177-4184.［7］汪 涛,陈 静,胡代玉,等.运用主题框架法进行定性资料分析［J］.中国卫生资源,2006,9(2):86-88. ［8］路定珍,陈家应.县域医共体模式下龙头医院持续发展策略分析［J］.中国卫生质量管理,2023,30(7):91-94.［9］GALE NK,HEATH G,CAMERON E,et al. Using the framework method for the analysis of qualitative data in multi-disciplinary health research［J］.BMC Medical Research Methodology,2013,13(1):117. ［10］钟桂鸿,张 茜,吴其聪,等.基于主题框架分析法的广东省零售药店分级分类管理政策实施现状分析［J］.中国药房,2021,32(12):1421-1427. ［11］吴越,姚安琦,肖司懿,等.改善癌症筛查成本收益的框架设计及其挑战与对策［J］.中国卫生经济,2020,39(5):46-49.［12］张小玲,熊文艳,晏清华,等. 2021年南昌市居民癌症防治素养水平及影响因素分析［J］.中华肿瘤防治杂志,2023,30(18):1079-1083. ［13］滕 熠,曹毛毛,陈万青.中国癌症筛查的发展、现状与挑战［J］.中国肿瘤,2022,31(7):481-487.［14］龚杨明,陈英耀,郑 莹,等.社区人群防癌健康教育评估研究［J］.中国卫生质量管理,2011,18(3):92-95.［15］王 侠,吕传禄,刘兰辉.近10年来《中国卫生质量管理》刊载品管圈论文情况分析［J］.中国卫生质量管理,2023,30(2):70-74.［16］SARFATY M,DOROSHENK M,Hotz J,et al.Strategies for expanding colorectal cancer screening at community health centers［J］.CA Cancer J Clin, 2013, 63(4): 221-231.［17］宋张骏,雷双燕,谢 娟.重视癌症患者支持性照顾需求提高患者生存质量［J］.中国卫生质量管理,2019,26(1):74-77.［18］杨 梦,尹卫国,周 鹏,等.品管圈降低大肠癌基因筛查粪便样本不合格率的应用［J］.临床检验杂志,2021,39(2):143-145. ［19］王成龙,赵子夜,王 颢,等.结肠镜检查质量控制研究进展［J］.结直肠肛门外科,2021,27(6):527-530,535.［20］徐钰莹,闫蕴孜,郝 洁,等.北京市乡村结直肠癌一、二级预防模式探索与实践：乡村吹哨,三级联动,中西医并重［J］. 世界科学技术（中医药现代化）,2020,22(4):943-949.［21］许燕鸿,魏清风,夏 叶,等.基于筛查平台的结直肠息肉镜下切除后患者医院-社区联动管理指标体系的构建［J］.护理学报,2023,30(5):33-37.

更新日期/Last Update: 2024-07-15