上海市市级公立医院肿瘤综合诊疗服务实施现状调研  

Research on the Implementation Status of Comprehensive Tumor Diagnosis and Treatment Services in Municipal Public Hospitals in Shanghai

作　　者：张静[1] 王兴鹏 余松轩 侯冷晨 范骏翔 ZHANG Jing;WANG Xingpeng;YU Songxuan(Shanghai Chest Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200030,China;不详)

机构地区：[1]上海市胸科医院/上海交通大学医学院附属胸科医院,上海200030 [2]上海申康医院发展中心,上海200041 [3]上海市第一人民医院,上海200080

出　　处：《中国卫生质量管理》2025年第3期7-11,共5页Chinese Health Quality Management

基　　金：科技部重点研发计划项目(编号:2023YFC2508605);上海申康医院发展中心管理研究项目(编号:2022SKMR-38)。

摘　　要：目的了解上海市三级公立医院肿瘤综合诊疗服务实施现状,为构建上海市级医院肿瘤综合诊治中心运行方案提供参考。方法采用问卷调查法和关键知情人访谈法,聚焦肿瘤综合诊疗服务实施现状进行调研。结果10所医院在2019年-2021年肿瘤科室床位数总体呈平稳或增长趋势;各医院开设肿瘤诊疗类别较为齐全,最多的涉及15种以上的肿瘤诊疗类别。10所医院均对多学科诊疗进行了规范,但有6所医院未将心理科纳入肿瘤多学科诊疗。10所医院均建立了肿瘤患者随访系统,但仅6所医院开展或联合开展了不同瘤种的早筛项目。5所医院信息系统自动化程度较高,可自动抓取数据生成电子健康档案。结论上海市三级公立医院需构建以患者为中心的肿瘤综合诊治中心,多措并举提高肿瘤综合诊疗管理水平,同时加强学科建设,提升科研转化能力,以提高肿瘤诊疗质量,助力肿瘤诊疗服务高质量发展。Objective To understand the implementation status of comprehensive tumor diagnosis and treatment services in tertiary public hospitals in Shanghai,and to provide reference for the construction of comprehensive tumor diagnosis and treatment center in Shanghai.Methods Questionnaire survey and key informant interview method were used to investigate the current situation of comprehensive diagnosis and treatment of tumor.Results From 2019 to 2021,the number of beds in oncology departments of 10 hospitals showed a steady or increasing trend.The hospitals have a relatively complete set of tumor diagnosis and treatment categories,with the most involving more than 15 tumor categories.All 10 hospitals standardized multidisciplinary treatment,but 6 hospitals did not include the psychological department into the multidisciplinary treatment of tumor.All 10 hospitals established a follow-up system for tumor patients,but only 6 hospitals carried out or jointly carried out early screening programs for different tumor types.Five hospital information systems have a high degree of automation,and electronic files can be generated by automatically grabbing data.Conclusion The tertiary public hospitals in Shanghai need to build a patient-centered comprehensive tumor diagnosis and treatment center,enhance the comprehensive diagnosis and treatment management level of tumor by implementing multiple measures,strengthen the discipline construction and enhance the ability of scientific research transformation,so as to improve the level of comprehensive tumor diagnosis and treatment and elevate the quality of tumor diagnosis and treatment,thereby contributing to the high-quality development of tumor diagnosis and treatment services.

关 键 词：上海市 三级公立医院 肿瘤综合诊疗服务 肿瘤综合诊治中心 多学科诊疗 

分 类 号：R197.3[医药卫生—卫生事业管理] R73[医药卫生—公共卫生与预防医学]