早期肺癌数字化诊疗技术体系的教学推广实践

Teaching and promotion of digital diagnosis and treatment technology system for early lung cancer

目的探究早期肺癌数字化诊疗技术体系在基层医疗机构的推广价值。方法回顾浙江大学医学院附属第二医院(浙大二院)胸外科面向基层医疗机构,开展有关早期肺癌诊疗的来院进修培训和专家下沉指导两方面的经验,并通过问卷调查法明确现有推广教学活动的成效及不足。结果以线上形式累计发放调查问卷18份、回收有效问卷18份。问卷第一部分对浙大二院胸外科肺癌数字化诊疗新技术体系的教学推广活动总体评估,基层医疗机构胸外科负责人表示在选派人员参与进修培训、接受科室专家下沉指导工作两方面,均认为对提高相关参训、受访人员的水平有帮助,均达100%。问卷第二部分对现有指导模式最突出的不足评估,各单位负责人选择比例依次为个性化实施不足(65.00%)、缺乏范本临床路径(40.00%)、仅重技术培训(20.00%)。结论未来的教学推广实践活动应立足已有良好经验,针对性改进上述不足,以更快更好地提高基层医疗机构的早期肺癌诊治水平,实现中国肺癌死亡率在农村地区下降的目标。

Objective To explore the promotion value of early lung cancer digital diagnosis and treatment technology system in primary medical institutions. Methods The experience of the Second Affiliated Hospital Zhejiang University School of Medicine thoracic surgery in carrying out further training and expert guidance in the diagnosis and treatment of early lung cancer for primary medical institutions was reviewed,and the effectiveness and shortcomings of the existing promotion teaching activities were evaluated by questionnaire survey. Results A total of 18 questionnaires were distributed online and 18 valid questionnaires were recovered.The first part of the questionnaire was the overall evaluation of the teaching promotion activities conducted by thoracic surgery,and all 18 interviewees(100.00%),who were directors of thoracic surgery of primary medical institutions,believed both sending personnel to participate in training and experts sinking instruction work were of great assistance.In the second part of the questionnaire,the most prominent deficiencies of the existing guidance model were evaluated.The interviewees chose insufficient personalized implementation(65.00%),lack of model clinical path(40.00%),and only focus on technical training(20.00%). Conclusion Future teaching promotion and practice activities should be based on the existing good experience,targeted to improve the above shortcomings,in order to improve the level of early diagnosis and treatment of lung cancer in primary medical institutions faster and better,and finally to achieve the goal of reducing lung cancer mortality in rural areas of China.