首批国家肿瘤多学科诊疗试点医院情况分析  

Operational Status of the First Batch of National Pilot Units of Cancer Multidisciplinary Team for the Diagnosis and Treatment

作　　者：王丹[1] 莫陶欣 薛冬[1] 沈琳[1] 陆明[1] WANG Dan;MO Tao-xin;XUE Dong;SHEN Lin;LU Ming(Peking University Cancer Hospital&Institute,Key Laboratory of Carcinogenesis and Translational Research of Ministry of Education,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142

出　　处：《中国肿瘤》2021年第5期352-356,共5页China Cancer

摘　　要：[目的]分析国家首批成功申报肿瘤多学科专家协作组(multidisciplinary team,MDT)诊疗试点单位的开展情况,了解目前肿瘤MDT服务模式的现况水平、存在问题及发展方向,为进一步推动肿瘤MDT诊疗模式提供科学依据。[方法]摘录227家成功申报肿瘤MDT诊疗试点单位的开展情况,包括医院属性和地理位置、开展MDT基本情况、MDT组织管理模式、专业影响力和MDT发展方向共计47个统计指标,并进行统计分析。[结果]成功申报MDT试点的医院以东部地区比例最高(46.3%),其中东部地区以浙江省比例最高(9.7%)。肿瘤MDT开展率为76.7%,开展比例前3位的病种为结直肠癌(55.5%)、胃癌(51.1%)、肺癌(50.7%)。71.8%的医院成立MDT组织,50.3%的医院制定MDT管理制度,21.1%的医院进行绩效考核管理。[结论]从首批成功申报肿瘤MDT试点医院中可见,国内肿瘤MDT诊疗模式已经获得许多医院的重视并落地执行,但存在地区发展不平衡,院际发展不平衡等问题,应以国家政策为支撑,加强地区交流,促进优势医疗资源下沉,配套激励机制,同时利用信息化技术推动国内肿瘤MDT的发展。[Purpose] To analyze the operational status of the first batch of national pilot units of cancer multidiscipline team(MDT) for diagnosis and treatment. [Methods] The current status of227 national pilot MDT hospitals were analyzed,including hospital affiliation and geographical location,MDT basic conditions,MDT organization and management model,professional influence and development direction. [Results] The proportion of MDT pilot hospitals was the highest in the eastern region(46.3%),and that in Zhejiang province was the highest(9.7%). The implement rate of cancer MDT was 76.7%,and the top three diseases were colorectal cancer(55.5%),gastric cancer(51.1%) and lung cancer(50.7%). MDT management organization was established in 71.8% of the hospitals;the MDT management system was established in 50.3% of the hospitals;and performance evaluation management was carried out in 21.1% of the hospitals. [Conclusion] The cancer MDT diagnosis and treatment model has introduced and implemented in national pilot hospitals,but there are development imbalances among regions and among hospitals. The development of cancer MDT should be supported by the national policy,strengthened by regional exchanges,promoted by optimal allocation of the medical resources,accompanied by a complete set of incentive mechanism and improved by information technology.

关 键 词：肿瘤 多学科诊疗服务模式 试点医院 

分 类 号：R197[医药卫生—卫生事业管理]