| 武文燕,吕永强,陈 磊.基于临床科室一体化的恶性肿瘤门诊治疗管理模式的探索：以山西省肿瘤医院为例[J].中国肿瘤,2026,35(10):807-813. |
| 基于临床科室一体化的恶性肿瘤门诊治疗管理模式的探索：以山西省肿瘤医院为例 |
| Exploration on the Integrated Management Model of Malignant Tumor Outpatient Treatment in Clinical Departments： a Case Study of Shanxi Cancer Hospital |
| 投稿时间：2026-07-06 |
| DOI：10.11735/j.issn.1004-0242.2026.10.A009 |
|
 |
| 中文关键词: 恶性肿瘤 门诊治疗 一体化流程 医院管理 山西 |
| 英文关键词:malignant tumor outpatient treatment integrated process hospital management Shanxi |
| 基金项目:山西省卫生健康委2025年度卫生健康科研课题（2025ZD038） |
|
| 摘要点击次数: 0 |
| 全文下载次数: 0 |
| 中文摘要: |
| 摘 要：门诊治疗是恶性肿瘤诊疗体系的重要组成部分，优化其管理模式对提升医疗资源利用效率具有重要意义。全文围绕临床科室一体化的恶性肿瘤门诊治疗管理模式展开分析，系统梳理该模式的构建背景、实施路径与运行成效。以山西省肿瘤医院实践为例，该院以乳腺外科为试点，2025年7月推行、2026年1月全院推广，该模式将挂号、病情评估、医嘱开具、临床治疗及费用结算全流程整合于科室内部，实现诊疗一体化闭环管理；乳腺外科住院床位由289张缩减至118张，配套20张输液椅，2025年7—12月收治门诊治疗患者4 389人次；2026年1—5月全院门诊治疗达18 649人次，占总收治人次的40.78%，全程平稳实现由传统挂床住院治疗向门诊治疗的转型，未发生用药差错及严重医疗不良事件。实践结果表明，该模式可行且安全，可为规范肿瘤门诊诊疗流程、优化医疗资源配置提供参考与借鉴。 |
| 英文摘要: |
| Abstract： Outpatient treatment is an essential component of the malignant tumor care system， and optimizing its management model is of great significance for improving the efficiency of medical resource utilization. This paper analyzes the integrated outpatient treatment management model for malignant tumors based on clinical departments， systematically reviewing its background， implementation pathway and operational outcomes. Taking Shanxi Provincial Cancer Hospital as an example， the model was piloted in the Department of Breast Surgery in July 2025 and extended hospital-wide in January 2026， integrating patient registration， disease assessment， medical order issuance， clinical treatment and expense settlement into a closed-loop， department-based workflow； inpatient beds in the Department of Breast Surgery were reduced from 289 to 118 with 20 supporting infusion chairs， the department treated 4 389 outpatient patients from July to December 2025. The whole hospital treated 18 649 from January to May 2026 accounting for 40.78% of the total treated patients. The transition from traditional bed-dependent inpatient care to outpatient treatment was smooth， with no medication errors or severe adverse events. The practice suggests that the model is feasible and safe， and can provide a reference for standardizing outpatient procedures and optimizing resource allocation. |
|
在线阅读
查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|