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[1]冯晨曦徐慧芳刘茵王潇杨郑俏俏王博祥张韶凯.我国三级医院结直肠癌多学科诊疗组织模式与流程整合现状：一项全国多中心调查[J].中国卫生质量管理,2026,33(8):37-43.[doi:10.13912/j.cnki.chqm.2026.33.8.08]
　FENG Chenxi,XU Huifang,LIU Yin.Current Status of Multidisciplinary Team Organization Models and Process Integration for Colorectal Cancer in Tertiary Hospitals in China: a National Multicenter Survey[J].Chinese Health Quality Management,2026,33(8):37-43.[doi:10.13912/j.cnki.chqm.2026.33.8.08]

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我国三级医院结直肠癌多学科诊疗组织模式与流程整合现状：一项全国多中心调查

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年8期页码: 37-43 栏目: 医疗质量出版日期: 2026-08-15

Title:: Current Status of Multidisciplinary Team Organization Models and Process Integration for Colorectal Cancer in Tertiary Hospitals in China: a National Multicenter Survey

作者:: 冯晨曦徐慧芳刘茵王潇杨郑俏俏王博祥张韶凯; 郑州大学附属肿瘤医院/河南省肿瘤医院/河南省肿瘤防控工程研究中心/河南省肿瘤预防国际联合实验室

Author(s):: FENG Chenxi; XU Huifang; LIU Yin; Affiliated Cancer Hospital of Zhengzhou University/Henan Cancer Hospital/Henan Provincial Research Center of Cancer Prevention and Control Program/Henan International Joint Laboratory of Cancer Prevention

关键词:: 三级医院; 结直肠癌; 多学科诊疗; 组织模式; 流程整合; 医疗质量

Keywords:: Tertiary Hospital; Colorectal Cancer; Multidisciplinary Treatment; Organizational Model; Process Integration; Medical QualityFirstauthor’s addressAffiliated Cancer Hospital of Zhengzhou

分类号:: R197.323；R735.3

DOI:: 10.13912/j.cnki.chqm.2026.33.8.08

文献标志码:: A

摘要:: 目的了解我国三级医院结直肠癌多学科诊疗（MDT）的实施现状，为优化结直肠癌MDT模式提供依据。方法采用多中心横断面研究，选取全国7大地理区域15个城市的19家单位，对内科、外科或放疗科医务人员进行调查，比较不同经济水平城市与不同类型医院间MDT实施差异，并分析影响因素。结果96.76%的医务人员所在医院已开展结直肠癌MDT，68.42%将MDT纳入常规诊疗流程，但MDT纳入患者占比仅约30%。一线城市医院的MDT常规诊疗频率更高（P＜0.05），而二线城市医院在流程整合度（P=0.017）及覆盖类别（P=0.001）方面更优；肿瘤专科医院在开展率与流程整合方面均优于综合医院（P＜0.05）。结论我国三级医院结直肠癌MDT模式已广泛开展，但患者纳入比例有限，且在不同地区与医院类型间差异存在统计学意义。建议通过强化区域资源整合、优化医院管理机制、加强培训及完善患者宣教与反馈系统等措施，进一步提升结直肠癌患者MDT覆盖率和规范化水平。

Abstract:: ObjectiveTo investigate the implementation status of multidisciplinary treatment (MDT) for colorectal cancer in tertiary hospitals in China, so as to provide a basis for optimizing the colorectal cancer MDT model.MethodsA multicenter cross-sectional study was conducted, selecting 19 institutions from 15 cities across 7 major geographical regions in China. Medical staff from departments of internal medicine, surgery or radiotherapy were surveyed. Differences in MDT implementation among cities with different economic levels and hospitals of different types were compared, and influencing factors were analyzed.ResultsColorectal cancer MDT has been carried out in the hospitals of 96.76% of the surveyed medical staff, and 68.42% have incorporated MDT into the routine diagnosis and treatment process, while the proportion of patients included in MDT is only about 30%. Hospitals in first-tier cities have a higher frequency of routine MDT practice (P<0.05), whereas hospitals in second-tier cities perform better in process integration (P=0.017) and coverage categories (P=0.001); specialized cancer hospitals outperform general hospitals in both implementation rate and process integration (P<0.05).Conclusion The colorectal cancer MDT model has been widely implemented in tertiary hospitals in China, but the proportion of included patients is limited, and statistically significant differences exist among different regions and hospital types. Measures such as strengthening regional resource integration, optimizing hospital management mechanisms, enhancing training, and improving patient education and feedback systems are recommended to further increase the MDT coverage rate and standardization level for colorectal cancer patients.

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更新日期/Last Update: 2026-08-15