摘要
目的了解湘潭市某医联体内各级医疗机构肿瘤专科服务能力现状,为强化医联体协作、优化肿瘤防治体系提供依据。方法方法采用便利抽样法,选取2024年湘潭市某医联体内一、二、三级公立医疗机构共7家为研究对象,通过自制《医联体内医疗机构肿瘤治疗服务能力调查表》收集数据,涵盖医院规模、肿瘤专科设置、诊断与治疗能力、疑难病例救治能力及辅助服务等内容,利用Excel进行统计分析。结果结果三级医院肿瘤服务能力全面,独立肿瘤专科设置率达100%,配备省级专科护士32名,可开展复杂肿瘤根治性切除、生物靶向治疗及多学科诊疗;二级医院中33.3%设置肿瘤专科,能完成常规手术及化疗,但缺乏放疗能力,无省级专科护士;一级医院未设置肿瘤专科,仅具备姑息治疗能力。基层医疗机构初筛设备(X线、超声)普及率为100%,但CT、病理诊断等服务缺失。疑难病例救治及辅助治疗(如静脉导管维护、安宁疗护)能力随医院等级逐级下降。结论结论建议医联体内加强二级医院肿瘤专科建设,提升放疗等基础服务能力;强化基层医疗机构肿瘤初筛与转诊功能;推动三级医院发挥技术辐射作用,完善医联体内协作机制,实现肿瘤患者全周期管理。
Objective To understand the current situation of oncology specialist service capabilities of medical institutions at all levels within a medical consortium in Xiangtan City,and provide basis for strengthening medical consortium collaboration and optimizing the cancer prevention and treatment system.Methods By convenient sampling method,a total of 7 public medical institutions at the first,second and third levels in a medical consortium in Xiangtan City in 2024 were selected as the research objects.Data were collected through the self-made“Tumor Treatment Service Capacity Questionnaire of Medical Institutions in the Medical Consortium”,covering hospital size,oncology specialty settings,diagnosis and treatment capabilities,difficult case treatment capabilities,and auxiliary services,etc.,and statistical analysis was carried out using Excel.Results The third-level hospitals have comprehensive oncology service capabilities,with an independent oncology specialist setting rate of 100%.They are equipped with 32 provincial-level specialist nurses,who can carry out radical resection of complex tumors,biological targeted therapy and multidisciplinary diagnosis and treatment;33.3%of the second-level hospitals have oncology specialties,which can complete routine surgery and chemotherapy,but lack radiotherapy capabilities and have no provincial-level specialist nurses;first-level hospitals do not have oncology specialties and only have palliative treatment capabilities.The penetration rate of primary screening equipment(X-ray,ultrasound)in primary medical institutions is 100%,but services such as CT and pathological diagnosis are missing.The ability to treat difficult cases and assist treatment(such as venous catheter maintenance and hospice care)decreases step by step with the level of the hospital.Conclusion It is recommended that the medical consortium strengthen the construction of oncology specialties in second-level hospitals and improve basic service capabilities such as radiotherapy;strengthen the primary screening and referral functions of primary medical institutions;promote third-level hospitals to play the role of technological radiation,improve the collaboration mechanism within the medical consortium,and realize Full-cycle management of cancer patients.
作者
尹姣
欧阳庆
徐云
Yin Jiao;Ouyang Qing;Xu Yun(Xiangtan First People’s Hospital,Xiangtan,Hunan 411101,China)
出处
《首都食品与医药》
2025年第16期93-96,共4页
Capital Food Medicine
基金
湖南省卫生健康委员会科研课题项目(编号:D202315029505)。
关键词
肿瘤
服务能力
医联体
Tumor
Service capabilities
Medical consortium
