南充市基层医院肺癌诊疗现状调查及能力建设  

Current status and capacity building of lung cancer diagnosis and treatment in grassroots hospitals in Nanchong City

作　　者：陈思林 李婷婷 冯旭琴 王丹[1] 胡欣 Chen Silin;Li Tingting;Feng Xuqin;Wang Dan;Hu Xin(Nanchong Central Hospital/Cancer Center of the Second Clinical Medical College of North Sichuan Medical College,Nanchong,Sichuan 637000,China)

机构地区：[1]南充市中心医院(首都医科大学附属北京安贞医院南充医院)/川北医学院第二临床医学院肿瘤中心,四川南充637000

出　　处：《现代临床医学》2024年第5期336-339,共4页Journal of Modern Clinical Medicine

基　　金：2021四川省基层卫生发展研究中心项目(SWFZ21-Y-39)。

摘　　要：目的:调查南充市基层医院肺癌的诊疗现状并对其能力建设提出建议,以促进肺癌的规范化诊疗,改善患者预后。方法:根据肺癌诊疗指南设计调查问卷,对南充市7家县级医院从事肺癌诊疗的65名医生进行问卷调查,了解其对肺癌规范化诊疗的理解以及实践情况,进行肺癌规范化诊疗的培训并评估培训效果。结果:南充市基层医院的医生对肺癌规范化诊疗的认识总体情况尚可,但也存在不足。培训后,基层医院医生在肺癌的临床表现、诊断及分期、基因及PD-L1检测、治疗方案方面的评分均高于培训前(P<0.05)。肺癌患者未完成检测和治疗的主要原因是医疗条件欠缺和费用限制。结论:南充市部分基层医院肺癌的规范化诊疗水平有待提高。定期开展肺癌诊疗的规范化培训,加强区域医院之间的相互协作,加大医疗投入,有助于提高基层医院对肺癌的诊疗能力,改善患者预后。Objective:To investigate the current status of lung cancer diagnosis and treatment in grassroots hospitals in Nanchong City and provide suggestions for their capacity building,in order to promote standardized diagnosis and treatment of lung cancer and improve patients'prognosis.Methods:A survey questionnaire was designed based on the guidelines for the diagnosis and treatment of lung cancer.A total of 65 doctors engaged in lung cancer diagnosis and treatment in 7 county-level hospitals in Nanchong City were investigated to understand their understanding and practice of standardized diagnosis and treatment of lung cancer.Training on standardized diagnosis and treatment of lung cancer was conducted and the effectiveness of the training was evaluated.Results:The overall understanding of standardized diagnosis and treatment of lung cancer among doctors in grassroots hospitals in Nanchong City was acceptable,but there were also shortcomings.After the training,the scores of primary hospital doctors in clinical manifestations,diagnosis and staging,genetic and PD-L1 testing,and treatment plans for lung cancer were higher than those before the training(P<0.05).The main reasons for lung cancer patients not completing testing and treatment were the lack of medical resources and cost limitations.Conclusion:The standardized diagnosis and treatment level of lung cancer in some grassroots hospitals in Nanchong City needs to be improved.Regularly conducting standardized training on diagnosis and treatment of lung cancer,strengthening mutual cooperation between regional hospitals,increasing medical investment,can help improve the diagnosis and treatment capabilities of grassroots hospitals for lung cancer and improve patients'prognosis.

关 键 词：基层医院 肺癌 诊疗 现状 调查 能力建设 

分 类 号：R73[医药卫生—肿瘤]