北京某医院医患双方对MDT诊疗模式的认知调查

Investigation on Cognition of MDT Diagnosis and Treatment Model in Doctors and Patients in a Beijing Hospital

目的调查医患双方对MDT诊疗模式的认知情况,为有效开展MDT诊疗服务提供依据。方法对2019年4—6月门诊患者和医生进行随机问卷调查。结果收集患者问卷2117份,医生问卷117份。不同年龄、不同文化程度患者对MDT诊疗模式的知晓率、参与率及主动参与意愿不同(p<0.001)。患者最希望改进的就医环节是挂号(56.22%),最希望通过官方微信(60.53%)获取MDT诊疗模式相关知识,且对效果优势(84.91%)、适用情况(77.69%)需求最高,96.50%的患者希望医院推出更多MDT诊疗服务。57.39%的医生清楚MDT诊疗模式,认为影响其实施的外部因素主要是缺乏相应机制、患者不了解、收费政策不明、尚无相应的教学模式,内部因素主要是固定模式难执行、缺少绩效激励、MDT宣传不够和流程不清晰。结论MDT诊疗模式知晓率、参与率、参与意愿受年龄和文化程度影响,应优化就医流程,重视宣传,创新管理举措,建立合理评价体系,促进医患"双赢"。

Objectives To investigate the cognition of MDT diagnosis and treatment model in doctors and patients,so as to provide reference for the effective implementation of MDT diagnosis and treatment services.Methods Random questionnaire survey was conducted in outpatient doctors and patients in a hospital in Beijing.Results A total of 2117 patient questionnaires and 117 doctor questionnaires were collected.Patients of different ages and education levels had different rates of awareness,participation and willingness to participate for the MDT diagnosis and treatment model(p<0.001).The patients mostly hoped to improve registration(56.22%)and to acquire knowledge about MDT diagnosis and treatment model through We Chat official accounts(60.53%).They had the highest demand for effect advantages(84.91%)and applicability(77.69%).And 96.50%of patients hoped that the hospital would provide more MDT diagnosis and treatment services.Of all the doctors,57.39%of them were clearly aware of the MDT diagnosis and treatment model.They thought that the external factors affecting its implementation were mainly lack of corresponding mechanisms,low awareness of patients,unclear charge policies,and no corresponding teaching model,and that the internal factors were mainly difficulty in carrying out the fixed model,lack of performance incentives,inadequate publicity,and unclear process.Conclusion The rate of awareness,participation and willingness to participate for the MDT diagnosis and treatment model was affected by age and education.It was necessary to optimize the medical treatment process,pay attention to publicity,innovate management measures,establish a reasonable evaluation system to promote a"win-win"situation for doctors and patients.