肿瘤医院开展多学科诊疗的探索

肿瘤疾病开展多学科专家协作组(MDT)诊疗模式是恶性肿瘤的合理诊疗模式,目前在我国正受到高度关注和广泛推广.MDT诊疗的规范化是保障诊疗效果和患者获益的基石.该文在结合辽宁省肿瘤医院推进MDT工作的基础上,凝练出MDT工作的核心理念.首次提出了以循证规范为基石,以整体联动、平等协作为途径,以医患和谐、患者获益为宗旨,以学科整合、共同发展为愿景的“4C”理论.通过持续改进,MDT诊疗理念内涵不断得到丰富,MDT的标准化和常态化定能使更多的肿瘤患者获益.

Experience of Promoting Multidisciplinary Team Diagnosis and Treatment Model in Cancer Specialized Hospital

Multidisciplinary team (MDT) model is rational and effective in diagnosis and treatment of malignancies,which is highly valued and extensively promoted in China.The standardization of MDT is the cornerstone to assure the effectiveness of medical service and the benefic of patients.In this paper,based on the experience in Liaoning Cancer Hospital and Institute,we propose a "4C" scheme of MDT i.e.Core-concept:evidence based medicine and routine;Cooperation:seamless team work across different professionals;Coordination:a unity of patients,relatives and medical practitioners to ensure the patients value comes first;and Collaboration:academic discipline integration and development is the vision of professional alliance.Through continuous improvement,the connotation of MDT is constantly enriched.We believe more cancer patients would benefit from the standardization and regularization of MDT diagnosis and treatment model.