肺癌多学科会诊在二级医院的现状调查

Investigation and study of lung cancer multidisciplinary team in the secondary hospital

目的:了解二级医院从事肺癌相关工作的医生对肺癌相关知识的掌握和对肺癌多学科会诊(multidisciplinary team,MDT)认知度的现状,分析二级医院不能严格实行肺癌MDT制度的原因。方法:采用便利抽样法,对重庆市某些二级医院从事肺癌相关工作的129名医生的肺癌专科知识和肺癌多学科会诊认知度进行调查。结果:医生肺癌专业知识得分优秀和良好0人,一般26人(20.2%),差103人(79.8%);从事肺癌相关工作的医生对肺癌MDT态度得分30.52±5.12,其中持正性态度30人(23.3%),持中性态度81人(62.8%),持负性态度18人(14.0%);医生肺癌相关知识与肺癌MDT认识度呈正相关。结论:二级医院中从事肺癌相关工作的医生对肺癌相关知识有待提高,医生对肺癌MDT认知度差,导致肺癌MDT难以实施的原因有学科带头人的缺乏、医疗体制的弊端、MDT制度的落后等。

Objective：To investigate the knowledge about the lung cancer and the attitude to lung cancer multidisciplinary team（MDT） among the doctors who work on lung cancer in the secondary hospital.To analyse the causes of the difficulties to carry out strictly the lung caner MDT in the secondary hospital.Methods：By convenient sampling,the professional knowledge about lung cancer and attitude to lung cancer MDT among 129 doctors who work on lung cancer from the secondary hospitals in Chongqing were investigated in this study.Results：The professional knowledge was classified as excellent（0）,good（0）,fair（26,account for 20.2%） and poor（103,account for 79.8%）.The score of the doctor＇s attitude to lung cancer MDT was 30.52±5.12,which was classified as positive（30,account for 23.3%）,neutral（81,account for 62.8%）,negative（18,account for 14.0%）.The doctor＇s lung cancer knowledge was positively correlated with the attitude to lung cancer MDT.Conclusion：The doctors＇professional knowledge about lung cancer in the secondary hospitals should be improved.The doctors＇ attitude to lung cancer MDT is poor.The difficulties to carry out the lung caner MDT may be the lacks of academic leader,the disadvantages of health care system and the backwardnesses of MDT＇s system.