• 四川大學(xué)華西醫(yī)院普外科(成都610041);

目的   探索結(jié)直腸腫瘤多學(xué)科協(xié)作(MDT)診治模式的會診流程。
方法  通過對MDT方式的認識與探索,并與傳統(tǒng)會診進行對比,結(jié)合我國特大型公立醫(yī)院的特點,探討具有自身特點的MDT模式會診流程。
結(jié)果  總結(jié)分析了MDT模式會診流程的優(yōu)點和傳統(tǒng)會診的不足,用MDT整體模式的創(chuàng)新思想描述了MDT會診流程的目的與特點,并簡要描述了在結(jié)直腸腫瘤MDT中會診流程的運用現(xiàn)狀。
結(jié)論  MDT會診流程的建立已經(jīng)表現(xiàn)出有別于傳統(tǒng)的特點,并且可能是未來會診模式演變的方向,但尚需要進一步研究予以臨床支持。

引用本文: 曹霖,汪曉東,李立. 多學(xué)科協(xié)作診治模式的會診流程探討(一). 中國普外基礎(chǔ)與臨床雜志, 2007, 14(3): 343-345. doi: 復(fù)制

1. 劉展, 汪曉東, 李立. 在結(jié)直腸癌領(lǐng)域引入多學(xué)科協(xié)作管理模式的現(xiàn)狀 [J]. 中國普外基礎(chǔ)與臨床雜志, 2007; 14(1)∶114.
2. 汪曉東, 李立. 結(jié)直腸腫瘤多學(xué)科協(xié)作診治模式下人員構(gòu)架的探索與實踐 [J]. 中國普外基礎(chǔ)與臨床雜志, 2007; 14(2)∶235.
3. Collins J, Skilton K. Low vision services in South Devon: a multi-agency, multi-disciplinary approach [J]. Ophthalmic Physiol Opt, 2004; 24(4)∶355.
4. 余學(xué)清, 黃鋒先, 葉小鳴主編. 內(nèi)科醫(yī)生會診指南 [M]. 第1版. 廣州: 廣東科技出版社; 2002∶7~9.
5. 王偉, 周芳. 論會診對臨床疑難病癥診治的作用 [J]. 山東醫(yī)科大學(xué)學(xué)報社會科學(xué)版, 1997; 10(4)∶4.
6. Lowe F, O’Hara S. Multi-disciplinary team working in practice: managing the transition [J]. J Interprof Care, 2000; 14(3)∶269.
7. Fleisher LA. Effect of perioperative evaluation and consultation on cost and outcome of surgical care [J]. Curr Opin Anaesthesiol, 2000; 13(2)∶209.
8. Saravanamuttu K, Byrne JL, Williams C, et al. Uptake of hi-gh-dose therapy and peripheral blood stem cell transplantation in myeloma patients <65 years——the role of the myeloma multi-disciplinary team [J]. Br J Haematol, 2005; 130(2)∶318.
9. Kelly MJ, Lloyd TD, Marshall D, et al. A snapshot of MDT working and patient mapping in the UK colorectal cancer centres in 2002 [J]. Colorectal Dis, 2003; 5(6)∶577.
10. Rajeena Ackroyd, Dudley J Bush, Jeanette Graves, et al. Survey of assessment criteria prior to implantation of spinal cord stimulators in United Kingdom pain management centres [J]. Eur J Pain, 2005; 9(1)∶57.
11. Blazeby JM, Wilson L, Metcalfe C, et al. Analysis of clinical decision-making in multi-disciplinary cancer teams [J]. Ann Oncol, 2006; 17(3)∶457.
  1. 1. 劉展, 汪曉東, 李立. 在結(jié)直腸癌領(lǐng)域引入多學(xué)科協(xié)作管理模式的現(xiàn)狀 [J]. 中國普外基礎(chǔ)與臨床雜志, 2007; 14(1)∶114.
  2. 2. 汪曉東, 李立. 結(jié)直腸腫瘤多學(xué)科協(xié)作診治模式下人員構(gòu)架的探索與實踐 [J]. 中國普外基礎(chǔ)與臨床雜志, 2007; 14(2)∶235.
  3. 3. Collins J, Skilton K. Low vision services in South Devon: a multi-agency, multi-disciplinary approach [J]. Ophthalmic Physiol Opt, 2004; 24(4)∶355.
  4. 4. 余學(xué)清, 黃鋒先, 葉小鳴主編. 內(nèi)科醫(yī)生會診指南 [M]. 第1版. 廣州: 廣東科技出版社; 2002∶7~9.
  5. 5. 王偉, 周芳. 論會診對臨床疑難病癥診治的作用 [J]. 山東醫(yī)科大學(xué)學(xué)報社會科學(xué)版, 1997; 10(4)∶4.
  6. 6. Lowe F, O’Hara S. Multi-disciplinary team working in practice: managing the transition [J]. J Interprof Care, 2000; 14(3)∶269.
  7. 7. Fleisher LA. Effect of perioperative evaluation and consultation on cost and outcome of surgical care [J]. Curr Opin Anaesthesiol, 2000; 13(2)∶209.
  8. 8. Saravanamuttu K, Byrne JL, Williams C, et al. Uptake of hi-gh-dose therapy and peripheral blood stem cell transplantation in myeloma patients <65 years——the role of the myeloma multi-disciplinary team [J]. Br J Haematol, 2005; 130(2)∶318.
  9. 9. Kelly MJ, Lloyd TD, Marshall D, et al. A snapshot of MDT working and patient mapping in the UK colorectal cancer centres in 2002 [J]. Colorectal Dis, 2003; 5(6)∶577.
  10. 10. Rajeena Ackroyd, Dudley J Bush, Jeanette Graves, et al. Survey of assessment criteria prior to implantation of spinal cord stimulators in United Kingdom pain management centres [J]. Eur J Pain, 2005; 9(1)∶57.
  11. 11. Blazeby JM, Wilson L, Metcalfe C, et al. Analysis of clinical decision-making in multi-disciplinary cancer teams [J]. Ann Oncol, 2006; 17(3)∶457.