以持续临床质量改进制度为标准 开展疝病诊断与治疗工作

Diagnosis and treatment of hernia with the standard of continuous clinical quality improvement

  • 摘要:  目前,我国疝和腹壁外科专业仍在“绩优模式”下运行,这可以维持当前疝病治疗的质量,但也限制了疝病诊断与治疗的个体化原则和创新性发展。为了更好地发展疝和腹壁外科领域,运用疝病治疗解决方案,就需要制订一种可发展和调整的组织架构和诊断与治疗方案。其核心是要求疝病方案能在“持续临床质量改进制度”(CCQI)基础上完成。疝病诊断与治疗CCQI制度的重点就是建立一支专门的疝病医疗团队,邀请患者及其家属共同参与疾病的诊断与治疗决策中,制订一套可以体现卫生保健系统价值的成本方案,并将该制度扩展到社区健康保健计划中。以上的各项举措将有利于持续临床质量的改进,以此标准建立工作制度,将对开展疝病诊断与治疗工作起到积极推动作用,从而达到更好的治疗效果和更低的医疗费用。

     

    Abstract:  At present, the hernia and abdominal wall surgery in China is still operating the traditional mode of “center of excellence”, which helps to maintain quality of hernia treatment, actually fosters mediocrity and inhibits positive individua-lization and innovation in the diagnosis and treatment of hernia. For a better development in this field and treatment solutions improvement, a complex system of a sustainable and adjustable organizational structure and diagnostic and treatment options is required. The core concept is that hernia treatment can be completed based on continuous clinical quality improvement (CCQI) system. The key point of the CCQI system is to establish a specialized hernia medical team, with engagement and participation of the patients and family in the care process, formulate a scheme reflecting true value measured by the health care system and adapt these concepts to the community setting. The above initiatives will be conducive to the improvement of continuous clinical quality. The establishment of a working system based on this standard will play a positive role in the diagnosis and treatment of hernia, so as to achieve better treatment results and lower medical costs.

     

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