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四川省门诊多学科诊疗现状调研

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目的 研究四川省医疗机构门诊多学科诊疗(multi-disciplinary team,MDT)开展现状,为进一步推广门诊MDT模式提供参考。方法 于2022年11月向四川省门诊管理医疗质量控制中心的各医疗机构门诊管理人员发布问卷。问卷内容包括调查对象及医疗机构基本情况、门诊MDT工作的开展现状、运营管理现状、MDT发展的内外部影响因素。结果 共收到问卷106份,其中有效问卷104份。已开展门诊MDT服务的医院有70家,开展率为67。31%,主要集中在近5年内开展。60家(85。71%)医院建立有MDT相关制度,但仅有14家(20。00%)医院开展了相关质量考评工作。104例接受调研的门诊管理人员中,83。65%认为影响门诊MDT发展的外部因素是患者缺乏对MDT的正确认识,78。85%认为影响门诊MDT发展的内部因素是科室和医生参与积极性不高。结论 四川省门诊MDT尚处于起步发展阶段,门诊MDT模式在成立标准、组织方式、运营管理、收费标准等方面尚未统一。未来仍需要相关部门和医疗机构共同推动,以促进其长足发展。
Current situation investigation on multi-disciplinary team in outpatient clinics in Sichuan
Objective To investigate the current status of multi-disciplinary team(MDT)in outpatient clinics of medical institutions in Sichuan,and to provide reference for further promoting the MDT model in outpatient clinics.Methods In November 2022,questionnaires were distributed to the outpatient management personnel of Sichuan Outpatient Management and Medical Quality Control Center from various medical institutions.The questionnaire included the basic information of the survey subjects and medical institutions,the current status of outpatient MDT work,the current status of operation and management,and the internal and external influencing factors of MDT development.Results A total of 106 questionnaires were received,of which 104 were valid.There were 70 hospitals that had provided outpatient MDT services,with a development rate of 67.31%,mainly concentrated in the past 5 years.A total of 60 hospitals(85.71%)had established MDT related systems,but only 14 hospitals(20.00%)had carried out relevant quality evaluation work.Among the 104 outpatient management personnel surveyed,83.65%believed that the external factor affecting the development of outpatient MDT was the lack of correct understanding of MDT by patients,and 78.85%believed that the internal factor affecting the development of outpatient MDT was the low participation enthusiasm of departments and doctors.Conclusions The outpatient MDT in Sichuan is still in its early stages of development,and the outpatient MDT model has not yet been unified in terms of establishment standards,organizational methods,operational management,and fee standards.In the future,relevant departments and medical institutions still need to work together to promote its sustainable development.

Multi-disciplinary teamoutpatient clinicscurrent situation investigation

王皖琳、郭媛、李琴、代佳灵、刘玲宏、黄雪茹、万智、何谦

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四川大学华西医院罕见病中心(成都 610041)

四川大学华西医院门诊部(成都 610041)

多学科诊疗 门诊 现状调研

国家自然科学基金

72374148

2024

华西医学
四川大学华西医院

华西医学

CSTPCD
影响因子:0.744
ISSN:1002-0179
年,卷(期):2024.39(10)