食管癌和结肠癌术后患者的综合质量评价及生存率

D. Andreev, A. Zavyalov
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引用次数: 0

摘要

县诊所的质量保证在全国范围内成功实现名为“与癌症作战”的联邦项目中起着关键作用。医疗保健机构之间的比较表明,某些医院在一项质量指标上表现优异,但在另一项质量指标上表现较差。有必要在实际实践中引入综合癌症护理质量标准。近年来,被称为“教科书结果”的综合质量标准被开发出来,以更好地反映癌症治疗的实体。本文提供了评价食管癌和结肠癌手术质量的综合标准的明确例子。总结质量指标是临床实践中易于应用的工具。这些参数如果发展得当,特别是在考虑的例子中,可能与癌症患者的长期生存有关。通过选择有针对性的措施来提高医务人员的技能以及财政援助和/或人力资源,使用“教科书结果”可能有助于减少不同组织提供的医疗保健质量的不合理差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Composite quality assessment and survival rates in patients after surgical treatment of esophageal and colon cancer
Quality assurance in county clinics plays a key role in the successful realization of the Federal project named "Battle with cancer" across the country. Comparisons between healthcare organizations demonstrate that certain hospitals perform superiorly while characterized by one quality measure, but inferiorly by another. There is a need for the introduction of integrated cancer care quality criteria in real practice. In recent years, the composite quality criteria called “textbook outcomes” were developed to better reflect the entity of cancer care. This paper provides clear examples of composite criteria for assessing the quality of esophageal and colon cancer surgery. Summarizing quality indicators are easily applicable tools to clinical practice. These parameters when developed properly could, particularly in considered examples, be associated with the long-term survival among cancer patients. The use of “textbook outcome” will probably help to reduce unreasonable differences in the quality of medical care provided by different organizations by choosing targeted measures to improve the skills of medical personnel as well as financial aid and/or human resources.
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