[1]张静 王兴鹏 余松轩 侯冷晨 范骏翔.上海市市级公立医院肿瘤综合诊疗服务实施现状调研[J].中国卫生质量管理,2025,32(03):007-11.[doi:10.13912/j.cnki.chqm.2025.32.3.02]
 ZHANG Jing,WANG Xingpeng,YU Songxuan.A[J].Chinese Health Quality Management,2025,32(03):007-11.[doi:10.13912/j.cnki.chqm.2025.32.3.02]
点击复制

上海市市级公立医院肿瘤综合诊疗服务实施现状调研()
分享到:

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

卷:
第32卷
期数:
2025年03期
页码:
007-11
栏目:
特别关注
出版日期:
2025-03-15

文章信息/Info

Title:
A
作者:
张静 王兴鹏 余松轩 侯冷晨 范骏翔
上海市胸科医院/上海交通大学医学院附属胸科医院
Author(s):
ZHANG JingWANG XingpengYU Songxuan
Shanghai Chest Hospital,Shanghai Jiao Tong University School of Medicine
关键词:
上海市三级公立医院肿瘤综合诊疗服务肿瘤综合诊治中心多学科诊疗
Keywords:
ShanghaiTertiary Public HospitalsComprehensive Tumor Diagnosis and Treatment ServicesComprehensive Oncology CenterMultidisciplinary Treatment
分类号:
R197.3;R73
DOI:
10.13912/j.cnki.chqm.2025.32.3.02
文献标志码:
A
摘要:
目的了解上海市三级公立医院肿瘤综合诊疗服务实施现状,为构建上海市级医院肿瘤综合诊治中心运行方案提供参考。方法采用问卷调查法和关键知情人访谈法,聚焦肿瘤综合诊疗服务实施现状进行调研。结果10所医院在2019年-2021年肿瘤科室床位数总体呈平稳或增长趋势;各医院开设肿瘤诊疗类别较为齐全,最多的涉及15种以上的肿瘤诊疗类别。10所医院均对多学科诊疗进行了规范,但有6所医院未将心理科纳入肿瘤多学科诊疗。10所医院均建立了肿瘤患者随访系统,但仅6所医院开展或联合开展了不同瘤种的早筛项目。5所医院信息系统自动化程度较高,可自动抓取数据生成电子健康档案。结论上海市三级公立医院需构建以患者为中心的肿瘤综合诊治中心,多措并举提高肿瘤综合诊疗管理水平,同时加强学科建设,提升科研转化能力,以提高肿瘤诊疗质量,助力肿瘤诊疗服务高质量发展。
Abstract:
ObjectiveTo understand the implementation status of comprehensive tumor diagnosis and treatment services in tertiary public hospitals in Shanghai, and to provide reference for the construction of comprehensive tumor diagnosis and treatment center in Shanghai.MethodsQuestionnaire survey and key informant interview method were used to investigate the current situation of comprehensive diagnosis and treatment of tumor.ResultsFrom 2019 to 2021, the number of beds in oncology departments of 10 hospitals showed a steady or increasing trend. The hospitals have a relatively complete set of tumor diagnosis and treatment categories, with the most involving more than 15 tumor categories. All 10 hospitals standardized multidisciplinary treatment, but 6 hospitals did not include the psychological department into the multidisciplinary treatment of tumor. All 10 hospitals established a follow-up system for tumor patients, but only 6 hospitals carried out or jointly carried out early screening programs for different tumor types. Five hospital information systems have a high degree of automation, and electronic files can be generated by automatically grabbing data.Conclusion The tertiary public hospitals in Shanghai need to build a patient-centered comprehensive tumor diagnosis and treatment center, enhance the comprehensive diagnosis and treatment management level of tumor by implementing multiple measures,strengthen the discipline construction and enhance the ability of scientific research transformation, so as to improve the level of comprehensive tumor diagnosis and treatment and elevate the quality of tumor diagnosis and treatment,thereby contributing to the high-quality development of tumor diagnosis and treatment services.

参考文献/References:

[1]郑荣寿,顾秀瑛,李雪婷,等.2000-2014年中国肿瘤登记地区癌症发病趋势及年龄变化分析[J].中华预防医学杂志,2018,52(6):593-600. [2]BRAY F,LAVERSANNE M,WEIDERPASS E,et al.The ever-increasing importance of cancer as a leading cause of premature death worldwide[J].Cancer,2021,127(16):3029-3030. [3]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-a Cancer Journal for Clinicians,2021,71(3):209-249. [4]SIEGEL RL,MILLER KD,FUCHS HE,et al.Cancer statistics,2022[J].Ca-a Cancer Journal for Clinicians,2022,72(1):7-33. [5]高 扬,邵雨辰,苏明珠,等.癌症患者的多学科团队协作诊疗模式研究进展[J].中国医院管理,2019,39(3):34-37.[6]杨凌鹤,刘美岑,曹曼,等.我国三级肿瘤医院多学科诊疗模式开展现状调查[J].中国卫生质量管理,2022,29(10):40-44.[7]曾 勇,王跃建,章成国,等.应用PDCA促进多学科协作诊疗开展[J].中国卫生质量管理,2018,25(3):4-6.[8]刘 芳,张 丽,王 悍.多学科诊疗与病种质量控制体系塑造:德国综合癌症中心认证的经验与启发[J].中国研究型医院,2021,8(1):39-43.[9]杨 亚,梁 晨,陈 桢,等.国内外多学科诊疗模式研究进展分析[J].中国卫生质量管理,2021,28(2):16-19.

相似文献/References:

[1]刘登 潘毅慧 王丽萍.上海市基层社区家庭病床服务与利用情况调研[J].中国卫生质量管理,2019,26(02):001.[doi:10.13912/j.cnki.chqm.2019.26.2.01]
[2]张源 周剑锋 潘毅慧.上海市基层社区家庭病床管理模式SWOT分析[J].中国卫生质量管理,2019,26(02):004.[doi:10.13912/j.cnki.chqm.2019.26.2.02]
[3]何乔 艾贺玲 潘毅慧.上海市基层社区家庭病床患者病种构成分析[J].中国卫生质量管理,2019,26(02):007.[doi:10.13912/j.cnki.chqm.2019.26.2.03]
[4]潘毅慧 刘登 王丽萍.上海市基层社区家庭病床质控情况分析[J].中国卫生质量管理,2019,26(02):010.[doi:10.13912/j.cnki.chqm.2019.26.2.04]
[5]高妍 丁燕 刘登.上海市基层社区家庭病床工作量调查与分析[J].中国卫生质量管理,2019,26(02):013.[doi:10.13912/j.cnki.chqm.2019.26.2.05]
[6]潘毅慧 刘登 王丽萍.上海市基层社区家庭病床人力资源现状调查和分析[J].中国卫生质量管理,2019,26(02):016.[doi:10.13912/j.cnki.chqm.2019.26.2.06]
[7]狄春明 刘正清 潘毅慧.上海市基层社区家庭病床上门服务项目调查与分析[J].中国卫生质量管理,2019,26(02):019.[doi:10.13912/j.cnki.chqm.2019.26.2.07]
[8]刘瑜婕 艾贺玲 潘毅慧.上海市基层社区家庭病床中医药服务开展情况调查与分析[J].中国卫生质量管理,2019,26(02):022.[doi:10.13912/j.cnki.chqm.2019.26.2.08]
[9]张琳琳马旭东*何璇高浩然谷鸿秋王海波尹畅7王彩云杨昕李子孝王拥军周建新.2013年-2017年全国三级公立医院神经重症医疗质量现状分析[J].中国卫生质量管理,2020,27(06):033.[doi:10.13912/j.cnki.chqm.2020.27.6.09]
 ZHANG Linlin,MA Xudong,HE Xuan,et al.Analysis of the Status Quo of the Quality of Neurocritical Care Medicine in Chinese Tertiary Public Hospitals from 2013 to 2017[J].Chinese Health Quality Management,2020,27(03):033.[doi:10.13912/j.cnki.chqm.2020.27.6.09]
[10]何思长 杨长皓 应嘉川 赵大仁 周明华 金秀芳.2012年-2018年全国三级公立医院医疗收入变动分析[J].中国卫生质量管理,2021,28(03):093.[doi:10.13912/j.cnki.chqm.2021.28.3.28 ]
 HE Sichang,YANG Changhao,YING Jiachuan.Change of Medical Income of Tertiary Public Hospitals in China during 2012-2018[J].Chinese Health Quality Management,2021,28(03):093.[doi:10.13912/j.cnki.chqm.2021.28.3.28 ]

更新日期/Last Update: 2025-03-15