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目的对辽宁省各级医疗机构恶性肿瘤诊治规范执行情况进行抽样调查,统计分析恶性肿瘤的诊治规范执行情况,为卫生行政及相关部门制定肿瘤防治计划、规划及质控办法提供参考依据,最终实现提高全省恶性肿瘤治疗水平和诊治规范率的目的。方法采用整群二阶段随机抽样,在收治肿瘤的292所医院中,遴选37所不同类型、不同级别医疗机构内科、外科和放疗科常见恶性肿瘤的出院病志,填写调查表,对各级别医疗机构进行数据统计及卡方检验。结果共收集有效调查表4514份,诊治规范率为41.2%,其中手术、化疗和放疗诊治规范率分别为33.4%、51.1%和37.3%。A类和B类医院高于C类医院;城市医院高于农村医院;在各级别医疗机构中,以有肿瘤科的市直综合医院诊治规范率最高,为55.6%;常见癌种中,乳腺癌的诊治规范率最高,为53.5%。结论建立恶性肿瘤诊治规范推广及相应的质量控制和考核方法的管理机制,提高全省恶性肿瘤诊治水平势在必行。
Objective To carry out a sample survey on the implementation of diagnosis and treatment of malignant tumors in medical institutions at all levels in Liaoning Province and to statistically analyze the implementation of diagnosis and treatment guidelines for malignant tumors so as to provide a reference for the formulation of plans, plans and quality control measures for cancer prevention and control by the health administrations and relevant departments. Improve the province’s level of treatment of malignancies and diagnosis and treatment of regulatory purposes. Methods A total of 292 hospitals were enrolled in this study. Two groups of 292 hospitals were enrolled in this study. The hospital discharge records of 37 common types of malignant tumors in medical, surgical and radiological departments of different types and levels were selected. Institutions for data statistics and chi-square test. Results A total of 4514 valid questionnaires were collected and the standard of diagnosis and treatment was 41.2%. The standard rates of diagnosis, treatment and radiotherapy were 33.4%, 51.1% and 37.3% respectively. Class A and Class B hospitals were higher than Class C hospitals; urban hospitals were higher than rural hospitals; in all levels of medical institutions, the standard of diagnosis and treatment was 55.6% at Shizheng General Hospital with oncology; among the common cancers, breast cancer The highest standard of diagnosis and treatment, 53.5%. Conclusion It is imperative to establish a management mechanism to promote the diagnosis and treatment of malignant tumors and the corresponding quality control and assessment methods to improve the diagnosis and treatment of malignant tumors in the province.