论文部分内容阅读
[目的]了解辽宁省各级医疗机构癌症患者外科手术治疗的现状和规范治疗的执行情况,为卫生行政部门制定行业和行政规范、发布相应的政策法规等提供参考,从而达到推广标准化外科手术治疗技术,保障手术质量和效果的目的。[方法]对在辽宁省范围内随机抽取的35所不同级别医院的1944份癌症手术患者病历进行调查和评估。[结果]不同级别的医院在癌症手术治疗后的根治程度、手术记录、术后的病理报告和病程记录等方面均存在一定差异。A、B类医院各指标水平明显优于C类医院,C类医院在肿瘤诊断水平及临床工作多项指标欠规范。[结论]需要针对C类医院加强质量监控及规范化培训,加强对C类医院的资源投资力度,提高C类医院业务水平。
[Objective] To understand the current situation of the surgical treatment of cancer patients and the implementation of standardized treatment in medical institutions at all levels in Liaoning Province, provide reference for the health administrative departments to formulate the industrial and administrative norms, issue corresponding policies and regulations and so on, so as to promote the standardization of surgical treatment Technology, the purpose of ensuring the quality and effectiveness of surgery. [Methods] The medical records of 1944 cancer patients in 35 different hospitals randomly selected in Liaoning Province were investigated and evaluated. [Results] There were some differences in the cure rate, surgical records, postoperative pathological reports and course records of different levels of hospitals after surgical treatment of cancer. Class A and Class B hospitals had significantly better indicators than Class C hospitals. Class C hospitals were under-standardized in the diagnosis of tumors and in a number of clinical indicators. [Conclusion] It is necessary to strengthen the quality control and standardization training for Class C hospitals, strengthen the resources investment in Class C hospitals and improve the operational level of Class C hospitals.