口腔多学科协作诊疗体系的构建与实施

Construction and implementation of oral multidisciplinary team system

针对复杂疑难的口腔疾病,如何高质高效、合理规范地进行综合诊疗一直是口腔医疗工作的热点和难点。口腔多学科协作诊疗(oral multidisciplinary team,OMDT)为复杂疑难的口腔疾病提供了新的诊疗思路和解决途径,是对传统口腔分科诊疗模式的有效补充,是口腔医学发展的必然趋势。目前国内外有关OMDT的研究还处于探索阶段,尚未形成完整的概念体系和运行模式。本文在前人研究的基础上,结合作者多年的临床实践和探索,提出狭义和广义OMDT的概念,并从实施目标、基本条件、组织结构、运行模式、管理框架、制度保障、质量控制和实施效果等方面阐述OMDT体系的构建与实施。构建规范、成熟、完善的OMDT体系并保证其有效运行和实施,将有助于提高我国口腔医疗的整体水平。

Concerning the complexities of many difficult oral diseases,how to make comprehensive diagnosis and carry out optimal treatment with high quality for an oral disease has always been the focus of clinical work.Oral multidisciplinary team(OMDT)provides new therapeutic approach for the complicated oral diseases.It is an effective supplement to the traditional specialty-oriented dental treatment mode and becomes the developmental trend of stomatology.Many difficult cases were reported to achieve good results by using multidisciplinary approach in recent years,but the complete concept system and the operation mode of OMDT have not been formed yet.On the basis of previous studies and years of clinical exploration,the author puts forward the concept of OMDT in both narrow sense and broad sense.The OMDT system was elaborately constructed and implemented from the aspects of objectives,essential requirements,organizational structure,operation mode,management framework,system guarantee,quality control and effect evaluation.To build a standardized and mature OMDT system will promote the overall level of stomatology in China.