基于临床路径的多学科协作肺癌诊疗模式探讨

目的 探索肺癌的基于临床路径的多学科协作诊疗模式。 方法 建立肺癌相关的临床路径知识库和多学科综合治疗讨论制度。 结果 共有8 532例肺癌患者通过多学科协作肺癌诊治模式进行诊治，综合讨论率达到95%以上。医疗业务相关指标均有所进步，2013年平均住院日由2012年的6天减少为5.4天，肺癌手术治疗、化疗、放疗患者的平均住院费用均下降，肺癌肺叶切除术后致命性血栓比率由0.93%减少到0.16%。结论 肺癌患者的多学科协作诊疗模式是提高诊疗水平、规范诊疗流程的重要途径，对于提高医疗质量、降低医疗费用、缩短住院日具有重要作用。

Exploration of Multidisciplinary Collaboration Diagnosis and Treatment of Lung Cancer Based on Clinical Pathway

Objective To explore the multidisciplinary collaboration diagnosis and treatment of lung cancer based on Clinical Pathway. Method Through the establishment of the Clinical Pathway database and the multidisciplinary collaboration diagnosis and treatment discussion system was established. Results The multidisciplinary collaboration diagnosis and treatment model on the treatment of lung cancer based on Clinical Pathway was used for 8 532 lung cancer patients, and the comprehensive discussion rate reached over 95%. The average length of stay decreased from 6 days in 2012 to 5.4 days in 2013. The average hospitalization costs of lung cancer patients who received surgery, chemotherapy or radiotherapy all decreased, while the rate of deadly blood clot after the operation of lobectomy of lung cancer patients decreased from 0.93% to 0.16%. Conclusion The multidisciplinary collaboration diagnosis and treatment model is an important way to improve the medical service level and standardize the treatment process, which can improve the medical service quality, decrease the medical expense and shorten the average length of stay in the hospital.