四川大学华西医院新型冠状病毒肺炎救治多学科诊疗实践模式探索  

Exploration of multi-disciplinary treatment/multi-disciplinary team practical mode of coronavirus disease 2019 treatment and management in West China Hospital of Sichuan University

作　　者：张磊[1] 周益[1] 帅冰星 陈相军[1] 陈敏[1] 李大江[1] 曾勇[1] ZHANG Lei;ZHOU Yi;SHUAI Bingxing;CHEN Xiangjun;CHEN Min;LI Dajiang;ZENG Yong(Medical Department,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院医务部,成都610041

出　　处：《华西医学》2021年第4期445-448,共4页West China Medical Journal

基　　金：四川大学华西医院新型冠状病毒肺炎疫情科技攻关项目(HX-2019-nCoV-022)。

摘　　要：早期识别、早期诊断、早期干预、科学救治和尽力保障患者最大获益是体现大型综合医院救治能力和质量水平的重要体现。结合四川大学华西医院实践经验,初步梳理构建新型冠状病毒肺炎救治多学科诊疗(multi-disciplinary treatment/multi-disciplinary team,MDT)模式,该文从团队构建、职责分工、工作流程探索、MDT讨论基础规范梳理、救治资源及主要治疗措施的督导协调等方面进行介绍。在疫情背景下通过医务管理参与推动MDT诊疗,促成工作流程的常态化和疫情救治MDT基础规范的制定,有利于集中精神,促成更有力的医疗质量保障和更合理的资源配置。在疫情防控和患者救治过程中促进MDT实施管理,根据实际情况科学调整实践措施,以临床与管理共享决策模式的探索最终促进共识和执行,从而为医疗机构在疫情救治下开展MDT管理、提升救治效果和加强医院质量管理提供参考借鉴。Early identification,early diagnosis,early intervention,proper treatment,and the best benefit for patients are the most important manifestations of the ability and quality in large general hospitals.Based on the practical experience of West China Hospital of Sichuan University,we initially sorted out the basic model of multi-disciplinary treatment/multi-disciplinary team(MDT)for the management of patients with coronavirus disease 2019.This article introduces the aspects of team building,division of responsibilities,work flow exploration,MDT discussion basic norms sorting,treatment resources,supervision and coordination of main treatment measures.In the context of the epidemic,all these measures are conducive to promote stronger medical quality assurance and more reasonable resource allocation.The implementation of MDT and shared decision-making model during epidemic provide a reference for medical institutions to carry out hospital quality management,and to improve the treatment for the maximum benefit of patients.

关 键 词：新型冠状病毒肺炎 医院质量管理 多学科诊疗 

分 类 号：R197.323[医药卫生—卫生事业管理]