我国40家三级公立医院多学科诊疗模式经验总结

Experience of multi-disciplinary team mode in 40 tertiary public hospitals in China

目的分析医疗机构在"以患者为中心,推广多学科诊疗模式"方面的做法或经验,为医疗机构进一步完善和推广多学科诊疗模式提出建议。方法依托"全国改善医疗服务第三方评估"项目,收集到医疗机构开展多学科诊疗模式的典型案例40份,对案例进行描述性分析和文本分析。结果开展多学科诊疗模式的专科医院较多,多学科诊疗服务的应用范围不断扩展,管理制度和诊疗流程不断优化。结论我国多学科诊疗模式处于探索和发展阶段,在推广过程中要注重充分发挥信息化手段的作用,建立科学合理的成本测算和收费标准,提高医疗机构和医务人员参与多学科诊疗的积极性。

Objective To analyze the practice and experience of"patient-centered,popularizing multi-disciplinary team(MDT)mode"in medical institutions,and to put forward reasonable suggestions and opinions for medical institutions to further improve and popularize MDT mode.Methods Based on the evaluation of China Healthcare Improvement Initiative,40 typical cases of MDT in medical institutions were collected,and descriptive analysis and textual analysis were carried out on the cases.Results There were more specialized hospitals carrying out MDT,the application scope of MDT services was constantly expanding,and the management system and diagnosis and treatment process were constantly optimized.Conclusions The mode of MDT in China is in the stage of exploration and development.In the promotion process,it is necessary to give full play to the role of information means,establish scientific and reasonable cost measurement and charge standard,and improve the enthusiasm of medical institutions and medical personnel to participate in MDT.