综合癌症中心临床活动量化新方法的实施

C. Muñoz, R. Álvarez, Jesús Kumate Rodríguez, L. Ugidos, E. Sanz, A. Cubillo
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引用次数: 0

摘要

没有一种通用的方法来评估综合性癌症中心的临床护理活动。时间临床单位是世界范围内最常见的程序。在一个西班牙小组,它已经开发了一个新的系统,基于每个医学肿瘤学家的日常真实活动,他的团队。此外,收集了每位医生2016年1月至2017年12月的日常活动,根据活动的复杂程度考虑不同的值(从1到4)。患者随访访视[1]、治疗访视[2]、临床试验访视或住院访视(3)、新患者首次访视(4)。然后将每位肿瘤内科医生的每日数值全部相加。此外,应用新方法后,各肿瘤科室的临床活动发生了明显变化。例如,乳腺癌单位从全球活动的24%变化到21%,胃肠道单位从47%变化到49%,肺部单位从13%变化到14%。在泌尿生殖系统和妇科肿瘤和前列腺肿瘤单位没有变化。这些变化引起了每个肿瘤单位不同的复杂性。这显然有助于更好地了解每个团队和癌症中心的真实临床活动。综上所述,该工具可用于区分和比较肿瘤医学小组、单位和医院基于该新系统分配资源的临床活动的不同复杂性。
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Implementation of a New Method to Quantify the Clinical Activity in a Comprehensive Cancer Center
There is no generalized way of evaluating clinical care activity in a comprehensive Cancer Center. Time clinical units is the most common procedure worldwide. In a spanish group it has been developed a new system based on the daily real activity of each medical oncologist of his team. In adittion, it has been collected the daily activity from January 2016 to December 2017 of each doctor considering different values (from 1 to 4) depending on the complexity of the activity. Follow up visit of a patient [1], treatment visit [2], Clinical trial visit or Inpatient visit (3) and New Patient First visit (4). Then it was added all the daily values of each medical oncologist. Moreover, the clinical activity of each Oncology Unit changed clearly when it was applied the new method. For example, breast cancer unit change from 24% to 21 % of the global activity, GI Unit from 47% to 49%, Lung Unit from 13% to 14%. In Genitourinary and Gynecological cancer and Prostate tumor units there are no change. These changes draw the different complexity of each Oncology Unit. It was clearly useful to get a better information of the real clinical activity of each team and cancer center. To sum up, this tool can be useful to unifique and compare the different complexity in the clinical activity of Medical Oncology Teams, units and hospitals allocating resources based on this new system.
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