[1]王仓红,胡才双,朱 靓.基于医生视角的多学科诊疗模式现状和改善策略[J].卫生经济研究,2022,39(2):64-66.
 WANG Cang-hong,HU Cai-shuang,ZHU Liang.Current Status and Improvement Strategies of Multidisciplinary Diagnosis and Treatment Model Based on Doctor's Perspective[J].Journal Press of Health Economics Research,2022,39(2):64-66.
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基于医生视角的多学科诊疗模式现状和改善策略
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年2期
页码:
64-66
栏目:
医院管理
出版日期:
2022-01-27

文章信息/Info

Title:
Current Status and Improvement Strategies of Multidisciplinary Diagnosis and Treatment Model Based on Doctor's Perspective
作者:
王仓红1胡才双1朱 靓2
1.广东顺德西安交通大学研究院,广东 佛山 528300
2.空军军医大学军事预防医学系,陕西 西安 710032
Author(s):
WANG Cang-hong HU Cai-shuang ZHU Liang
Guangdong Xi'an Jiaotong University Academy, Foshan Guangdong 528300, China
关键词:
多学科团队激励机制医护人员
Keywords:
multidisciplinary teams (MDTs) incentive mechanism medical staff
分类号:
R19
文献标志码:
B
摘要:
目的:从医生视角出发,了解医院多学科团队(MDTs)发展现状。方法:以MDTs成员为受访对象,采用匿名访谈和问题回答的形式开展调查。结果:两家样本医院的MDTs运行良好,不同职称成员对参加MDTs的期望不同;MDTs可能会造成过度诊疗、增加患者的诊疗成本,存在法律主体责任不清晰的情况。结论:加强MDTs信息共享系统建设,重视MDTs成员之间的沟通与配合,建立MDTs决策的法律责任人制度和绩效考核评价指标体系,构建有效的MDTs激励机制,使MDTs诊疗模式以更低的成本实现更好的疗效。
Abstract:
Objective From the perspective of members of multidisciplinary teams (MDTs), this study aims to understand the development status of hospital MDTs. Methods Anonymous interviews were adopted, and MDTs members were selected as participants. Results The MDTs of the two sample hospitals worked well, and members with different professional titles had different expectations for participating in MDTs. Participants thought that MDTs may lead to excessive diagnosis and treatment, increase the costs, and may confront unclear responsibility of the legal subject. Conclusion In order to achieve cost-effective MDTs model, it is recommended to strengthen the construction of MDTs information sharing system, attach importance to the communication and cooperation among MDTs members, establish a legal responsibility system for MDTs decision-making and a performance evaluation index system, and build an effective MDTs incentive mechanism.

参考文献/References:

[1] Hill MN,Miller NH.Compliance Enhancement[J].Circulation,1996, 93(1):4-6.
[2] Taylor MC,Brown K,Mrcs BL,et al.Developing and Testing TEAM (Team Evaluation and Assessment Measure), a Self-assessment Tool to Improve Cancer Multidisciplinary Teamwork[J].Annals of Surgical Oncology,2012,19(13):4019-4027.
[3] Mathoulin-Pelissier S,Chevreau C,Bellera,et al.Adherence to consensus-based diagnosis and treatment guidelines in adult soft-tissue sarcoma patients: a french prospective population-based studydagger[J].Annals of Oncology,2014,25(1):225-231.
[4] Powell HA, Baldwin DR.Multidisciplinary team management in thoracic oncology: more than just a concept?[J].European Respiratory Journal,2014,43(6):1776-1786.
[5] Palmer G,Martling A,Cedermark B,et al.Preoperative tumour staging with multidisciplinary team assessment improves the outcome in locally advanced primary rectal cancer[J].Colorectal Disease, 2011, 13(12):1361-1369.
[6] 陈洁,张继东,闻大翔,等.基于医生视角的肿瘤多学科诊疗模式现状和对策研究[J].中国医院,2016,20(8):39-42.
[7] Basta YL,Bolle S,Fockens P,et al.The Value of Multidisciplinary Team Meetings for Patients with Gastrointestinal Malignancies:A Systematic Review[J].Annals of Surgical Oncology,2017,24(9):2669-2678.
[8] Palmer G,Martling A,Cedermark B,et al. Preoperative tumour staging with multidisciplinary team assessment improves the outcome in locally advanced primary rectal cancer[J].Colorectal Disease,2011,13(12):1361-1369.
[9] 龚伟伟,赵太宏,肖雨龙,等.多学科协作诊疗模式在青年医师培养中的运用[J].中国医院管理,2016,36(11):90-91.
[10] Nasir S,Anwar S,Ahmed M. Multidisciplinary teammeeting and Radiologist workload,a prospective review in a tertiary care hospital[J].Pak J Med Sci,2017,33(6):1501-1506.
[11] 胡群玲,蓝姝.我国肿瘤多学科诊疗团队运行管理现状分析[J].中医药管理杂志,2021,29(8):69-70.
[12] 和霞,林梅,杨清,等.多学科协作诊疗模式下专科护士参与策略的研究进展[J].中华急危重症护理杂志,2020(6):549-553.
[13] 金燕,陆佳韵,曾海燕,等.SBAR标准化沟通模式在国内急诊患者转运中的应用现状[J].现代临床护理,2019,18(4):76-80.
[14] 沈鸣雁,卢芳燕,王仁芳,等.针对胰腺癌患者的多学科专业化护理实践与成效[J].中华护理杂志,2016,51(5):542-546.

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更新日期/Last Update: 2022-01-27