山东省38所三甲医院乳腺多学科诊疗现状

doi:10.6040/j.issn.1671-7554.0.2024.0691

摘要/Abstract

摘要： 目的了解山东省三甲医院乳腺多学科诊疗(multidisciplinary treatment, MDT)开展情况,推动MDT的规范化开展。方法简单随机抽样山东省内38所三甲医院。通过问卷调查采集医生基本信息、医院基本信息、MDT开展情况、MDT评价,并进行统计分析。结果 35所医院(92.1%)设置乳腺外科,17所和13所设置乳腺影像和病理亚专业。73.7%的医院MDT开展时间为3~10年,47.4%的医院每周开展MDT。8所亚专业设置完善的医院,MDT开展均超过5年,而未设置两大亚专业的医院仅3所MDT开展超过5年。亚专业设置完善的医院每周开展MDT的比例更高。94.5%的调查对象认为MDT优化了临床诊疗,97.2%支持建立MDT数据库,但目前仅43.6%的医院已建立数据库。88.2%的调查对象满意MDT薪酬,各职称调查对象满意度分布差异无统计学意义。结论山东省三甲医院乳腺MDT发展较早,但仍需不断提高,未来需调动医务工作者积极性,进一步规范推广。

关键词: 乳腺癌, 多学科诊疗, 三甲医院, 肿瘤, 医疗质量

Abstract: Objective To understand the development of breast multidisciplinary treatment(MDT)in tertiary hospitals in Shandong Province, and to promote the standardisation of MDT. Methods A simple random sampling was conducted on 38 tertiary hospitals in Shandong Province. A questionnaire survey was conducted to collect basic information on doctors, hospitals, MDT implementation, and MDT evaluation. The collected data underwent statistical analysis. Results A total of 35 hospitals(92.1%)established breast surgery services, while 17 and 13 established breast imaging and pathology subspecialties, respectively. It is noteworthy that 73.7% of the hospitals have been conducting MDTs for 3 to 10 years, and 47.4% were conducting weekly MDTs. All eight hospitals with well-established subspecialties had been conducting MDTs for more than five years, whereas only three hospitals without two major subspecialties had been conducting MDTs for more than five years. Hospitals with well-established subspecialties had a higher proportion of weekly MDTs. About 94.5% of the respondents believed that MDT optimised clinical diagnosis and treatment, 97.2% supported the establishment of an MDT database, but only 43.6% of hospitals have established a database. Furthermore, 88.2% of the respondents were satisfied with the MDT remuneration, and the difference in the distribution of the respondents satisfaction with different job titles was not statistically significant. Conclusion Breast MDT in tertiary hospitals in Shandong Province has developed earlier, but still needs to be improved continuously, and in the future, it needs to mobilise the enthusiasm of medical workers and further standardise and promote it.

Key words: Breast cancer, Multidisciplinary team, Tertiary hospital, Tumor, Medical quality

中图分类号:

R737.9

艾宪程,王斐,周文重,于理想,周飞,相玉娟,李亮,余之刚. 山东省38所三甲医院乳腺多学科诊疗现状[J]. 山东大学学报 (医学版), 2025, 63(1): 108-114.

AI Xiancheng, WANG Fei, ZHOU Wenzhong, YU Lixiang, ZHOU Fei, XIANG Yujuan, LI Liang, YU Zhigang. Current status of breast multidisciplinary treatment in 38 tertiary hospitals in Shandong Province, China[J]. Journal of Shandong University (Health Sciences), 2025, 63(1): 108-114.

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