2021年奔萨地区颌面部恶性肿瘤患者手术路径的改进

Lebedev M.V., Kerimova K.I., Zakharova I.Yu.
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摘要

世界范围内对肿瘤发病率的关注是由于恶性肿瘤的检出率稳步上升,并有上升的趋势。全世界每年有700多万人死于肿瘤。在俄罗斯联邦,组织向患有肿瘤疾病的人口提供医疗服务的制度目前正处于改进阶段。新的项目旨在早期诊断和预防恶性肿瘤。每个地区都有权根据其领土特点和现有的物质技术基础和人员制定和实施路线。为特定区域创建的路由系统确定了患者的治疗顺序以及为肿瘤病理患者提供医疗服务系统中所有环节的功能。针对颌面部恶性肿瘤患者,根据“肿瘤学”特征,应根据区域卫生保健系统构建优化的患者路径系统。一个复杂的交互系统,一个能够包含和处理一组信息的信息系统,一个训练有素的感兴趣的工作人员,决定了在优化肿瘤服务的方向上做出管理决策的需要。管理决策和技术应侧重于提高患者入院的质量和速度,使用现代设备和算法提供高质量的医疗服务。反过来,工作人员决定了医疗保健系统的基础,在此基础上,有必要继续教育,确定和寻找特定组织需要的专家,为颌面部肿瘤病理患者提供医疗保健的整个服务的功能取决于此。总的来说,为颌面部恶性肿瘤患者提供医疗服务的系统优化要求将组织措施与临床方法相结合。毫无疑问,在组织肿瘤服务的过程中,各个方向和部门的多组件集成系统预先决定了需要使用现代管理技术和利用所有可用资源,以提高医疗质量。
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IMPROVEMENT OF THE PROCESS APPROACH IN THE ROUTING OF PATIENTS WITH MALIGNANT MALIGNANCES OF THE MAXILLOFACIAL REGION IN THE TERRITORY OF THE PENZA REGION IN 2021
The worldwide concern about oncological morbidity is due to the steady increase in the detection rate of malignant neoplasms, which has a tendency to increase. More than 7 million people die from oncology every year in the world. The system of organizing the provision of medical care to the population with oncological diseases in the Russian Federation is currently undergoing a stage of improvement. New programs are aimed at early diagnosis and prevention of malignant neoplasms. Each region has the right to create and implement routing taking into account the territorial characteristics and the existing material and technical base and personnel. The routing system, created for a specific region, determines the order of treatment of patients and the functions of all links in the system of providing medical care to patients with oncopathology. An optimized system for routing patients according to the "Oncology" profile for patients with malignant neoplasms of the maxillofacial region should be structured in accordance with the regional healthcare system. A complex system of interaction, an information system capable of containing and processing a set of information, a trained interested staff dictate the need for making management decisions in the direction of optimizing the oncological service. Management decisions and technologies should be focused on improving the quality and speed of patient admission, providing highly qualified medical care using modern equipment and algorithms. The staff, in turn, determines the basis of the health care system, in connection with which it is necessary to continue education, identify and search for specialists that a specific organization needs, on which the functioning of the entire service for providing medical care to patients with oncopathology of the maxillofacial region depends. In general, the optimization of the system of providing medical care to patients with malignant neoplasms of the maxillofacial region dictates the need to combine organizational measures and a clinical approach. Unambiguously, the multi-component system of integration of various directions and departments in the process of organizing an oncological service predetermines the need to use modern management technologies and the use of all available resources in order to improve the quality of medical care.
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