目的 旨在构建全流程视角下我国肿瘤多学科诊疗(multidisciplinary diagnosis and treatment,MDT)模式质量评价指标体系,为实践应用与模式优化提供指导.方法 基于MDT模式发文量与实践情况选取全国范围内20家省级医院作为典型案例,采用扎根理论对案例原始文本进行三级编码并提炼评价指标,在投入-过程-产出框架下构建肿瘤MDT模式质量评价指标体系.结果 通过三级编码梳理出27个初始范畴、8个副范畴和3个主范畴,构建了以投入、过程、产出为一级评价指标,顶层设计、管理制度、物件资源、会议准备、会议进行、方案实施、患者层面、医院层面为二级评价指标的肿瘤MDT模式质量评价指标体系.结论 基于全流程视角的肿瘤MDT模式质量评价指标体系可以有效指导实践优化,但仍需配套政策、信息系统的完善助力质量评价.
Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
cancermultidisciplinary diagnosis and treatmentqualityevaluation index system
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