结直肠肿瘤多学科协作诊治模式下人员构架的探索与实践

Exploration and Practice of Personnel Framework in Multi-Disciplinary Treatment for Colorectal Cancer

目的探索在结直肠肿瘤多学科协作诊治(MDT)模式下人员构架的策略。方法通过了解国际结直肠肿瘤MDT的方式和医院人力资源管理的运作方法,结合我国特大型公立医院的特点,总结归纳出一套具有自身运行管理机制和亚专业特色为基础的结直肠肿瘤多学科交叉协作诊治的人员构架体系。结果在实践中证实并应用的“整体、匹配、自愿、互动”四大原则基础上,通过团队负责人、团队协调人、结直肠外科团队、结直肠肿瘤相关专家团队、专业护理及康复指导人员、MDT工作组人员以及辅助人员所构成的人员群体,探索并建立了有交互联系的“同心圆”式基本人员构架。结论结直肠肿瘤MDT项目组通过探索构建各层次体系,逐步完善可行的MDT人员构架,实现合理的层次关系,但如何建立具有长效机制的创新型MDT人力资源管理体系是需进一步研究的重要课题。

Objective To explore the personnel framework strategy of multi-disciplinary treatment （MDT） for colorectal cancer. Methods Combined the characteristics of large public hospital, with recognized treatment pathway in international MDT for colorectal cancer and management of medical human resource, colorectal cancer MDT project team summarized a system of multi-disciplinary treatment working for colorectal cancer of West China Hospital （MDT-CRC-WCH） by own management mechanism and subject feature. Results Based on the main four principles whole, match, voluntary and interactive, MDT-CRC-WCH constructed reciprocation ＂concentric circle＂ with the team of directors, coordinators, colorectal surgeons, related professors, nursing and other assistants. Conclusion With construction of multi-layers, MDT for colorectal cancer is completing MDT personnel framework and suitable layers relation. And how to construct prolong active and innovative system of MDT human resource management needed more research.