[1]庄英朱晓萍陈亚梅尹小兵胡龙军钱明平余松轩侯冷晨张戟.基于加速康复外科的结直肠肿瘤中心化建设[J].中国卫生质量管理,2021,28(12):008-10.[doi:10.13912/j.cnki.chqm.2021.28.12.03 ]
 ZHUANG Ying,ZHU Xiaoping,CHEN Yamei.Construction of Colorectal Tumor Center Based on Enhanced Recovery After Surgery[J].Chinese Health Quality Management,2021,28(12):008-10.[doi:10.13912/j.cnki.chqm.2021.28.12.03 ]
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基于加速康复外科的结直肠肿瘤中心化建设
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年12期
页码:
008-10
栏目:
特别关注
出版日期:
2021-12-28

文章信息/Info

Title:
Construction of Colorectal Tumor Center Based on Enhanced Recovery After Surgery
作者:
庄英朱晓萍陈亚梅尹小兵胡龙军钱明平余松轩侯冷晨张戟
上海市第十人民医院
Author(s):
ZHUANG YingZHU XiaopingCHEN Yamei
Shanghai Tenth People's Hospital
关键词:
加速康复外科结直肠癌结直肠肿瘤中心一体化诊疗
Keywords:
Enhanced Recovery After Surgery Colorectal Cancer Colorectal Tumor Center Integrated Diagnosis and Treatment
分类号:
R197.323;R735.3
DOI:
10.13912/j.cnki.chqm.2021.28.12.03
文献标志码:
B
摘要:
总结上海市第十人民医院结直肠肿瘤中心化建设经验。在中心化建设过程中,医院整合多学科优势资源,贯彻加速康复外科理念,通过诊疗团队组建、诊疗流程重组、一体化诊疗模式实施等措施,建立了以结直肠肿瘤患者为中心的院前-院中-院后全生命周期管理模式,使结直肠肿瘤患者均次费用降低,平均术前待床日、平均住院日缩短,床位周转率加快,实现了经济与社会效益的双赢,推动了加速康复外科的纵向发展。
Abstract:
To summarize the experience of colorectal tumor centralization construction in Shanghai Tenth People's Hospital. In the process of centralization construction, hospital integrating multidisciplinary advantage resources, implementing the concept of Enhanced Recovery After Surgery (ERAS), through measures of team foundation, diagnosis and treatment process restructuring, implementation of integrated mode of diagnosis and treatment, a pre-hospital, in-hospital and post-hospital life-cycle management mode centered on colorectal cancer patients had been established. The average cost of colorectal cancer patients was reduced, the average preoperative bed stay and hospital stay were shortened, and the bed turnover rate was accelerated, achieving win-win of economic and social benefits, and promoting the vertical development of ERAS.

参考文献/References:

[1]Bray F,Ferlay J,Soerjomataram I,et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA: A Cancer Journal for Clinicians,2018,68(6):394-424. [2]Kelly MJ,Lloyd TD,Marshall D,et al.A snapshot of MDT working and patient mapping in the UK colorectal cancer centres in 2002[J].Colorectal Dis,2003,5(6):577-581. [3]李 毅,龚剑峰,朱维铭.围手术期外科之家理念及其在炎症性肠病管理中应用[J].中国实用外科杂志,2020,40(5):511-514. [4]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. [5]胡龙军,费鸿翔,王清江,等.基于业务流程再造理论的加速康复外科工作实践探索[J].中国医院管理,2018,38(12):56-57,60. [6]胡龙军,田梅梅,高文学,等.加速康复外科理念对医疗业务结构影响分析[J].中国医院管理,2020,40(7):39-41. [7]Wainwright TW,Immins T,Middleton RG.Enhanced recovery after surgery (ERAS ) and its applicability for major spine surgery[J].Best Pract Res Clin Anae,2016,30(1):91-102. [8]姜 军.围手术期外科之家理念在结直肠外科的应用[J].中国实用外科杂志,2021,41(2):149-152. [9]Smith TWJ,Wang X,Singer MA,et al. Enhanced recovery after surgery:a clinical review of implementation across multiple surgical subspecialties[J].Am J Surg,2020,219(3):530-534. [10]Medbery RL,Fernandez FG,Khullar OV. ERAS and patient reported outcomes in thoracic surgery: a review of current data[J].J Thorac Dis,2019,11(Suppl 7):S976-S986. [11]姜洪池,徐亚男.ERAS深入开展的今日外科医师还需做什么[J].中华外科杂志,2021,59(1):E002.

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更新日期/Last Update: 2021-12-28