我国肺癌多学科诊疗建设现状调查研究

Investigation on the Current Situation of Multi-Disciplinary Treatment of Lung Cancer in China

目的了解我国肺癌多学科诊疗(MDT)建设现状,为进一步推广肺癌MDT模式和优化医疗服务质量提供参考。方法通过电子问卷形式,对31个省(自治区、直辖市)收治肺癌患者的医疗机构开展问卷调查,使用SPSS 27.0软件对数据进行统计分析。结果887份开展过肺癌MDT的调查问卷中有78.3%的MDT年诊疗占比不足50%;大部分肺癌MDT在固定时间开展且过去半年内开展频率主要为一个月1次~2次,单例MDT开展时长倾向于11 min~30 min。有36%的被调查者只对部分MDT患者进行随访,且MDT方案执行率高于75%的占比仅34.6%。在认知层面,88.1%的被调查者认为肺癌MDT的开展是可行且有效的,但难以协调团队时间、缺少充分的行政支持和激励手段有限等仍是肺癌MDT开展的难点。结论我国肺癌MDT开展相对普遍,但开展率不高,且对肺癌MDT的方案执行情况和随访工作有待加强。未来国家应进一步完善对MDT的支持政策,医疗机构应做好制度建设和运行保障,加强MDT信息化建设,提升医疗服务质量。

Objective To understand the current status of multi-disciplinary treatment(MDT)of lung cancer in China,and to provide reference for further promoting the MDT mode of lung cancer and optimizing the quality of medical services.Methods Through the form of electronic questionnaire,a questionnaire survey was conducted on hospitals that treated lung cancer patients in 31 provinces(autonomous regions and municipalities).The SPSS 27.0 software was used to analyze the data.Results 78.3%of the 887 questionnaires conducted MDT for lung cancer accounted for less than 50%of the annual diagnosis and treatment of MDT.Most lung cancer MDT were carried out at a fixed time and the frequency of MDT in the past six months was mainly once or twice a month.The duration of single MDT tended to be between 11 min and 30 min.36%of the respondents only followed up some MDT patients,and only 34.6%of the MDT program implementation rate was higher than 75%.At the cognitive level,88.1%of the respondents believed that the development of lung cancer MDT was feasible and effective,but it was still difficult to coordinate team time,lack of adequate administrative support and limited incentives.Conclusion MDT for lung cancer is relatively common in China,but the implementation rate is still not high,and the implementation and follow-up of MDT for lung cancer need to be strengthened.In the future,the state should further improve the support policy for MDT,medical institutions should do a good job in system construction and operation guarantee,enhance MDT information construction,and improve the quality of medical services.