中国全科医学2018，Vol.21Issue(19)：2291-2296,6.DOI:10.12114/j.issn.1007-9572.2018.00.006
基于综合医院-社区协作模式的乳腺癌防治流程构建研究
Breast Cancer Prevention and Control Process Based on General Hospital-Community Collaboration Model
摘要
Abstract
Objective To construct a complete,standardized and patient-centered breast cancer prevention and control process based on general hospital-community collaboration model with clear division of labor at all levels of medical institutions through integrating and optimizing the commonly used breast cancer screening tools and based on the foundation of regional family doctor contracted service.Methods Through literature review,the current guidelines for breast cancer prevention and control at home and aboard were summarized.And then expert consultation method,brainstorming method and flow chart method were used to build the breast cancer prevention and control process.Results The prevention and control process of breast cancer mainly consisted of three steps.Step 1:To build residents' awareness of cancer prevention through the health education from community general practitioners.Step 2:Gail-2 risk assessment and clinical breast examination were carried out by community general practitioners to screen out high-risk groups of breast cancer,and these high-risk residents were transferred to higher level of medical institutions.Step 3:Breast cancer was diagnosed and treated through mammography and other breast-related examination performed by specialists in general hospitals,and a rehabilitation prescription was issued.Conclusion The establishment of breast cancer prevention and control process could enable the implementation of clinical guidelines for breast cancer and form a practical and feasible plan of breast cancer focusing on patient as the center with the reasonable division of labor among general hospital specialists and community general practitioners.It also completed the entire process from the early detection and early diagnosis to early treatment of breast cancer,avoiding the waste of medical resources because of multiple examinations and visits.At the same time,it could improve the ability of general practitioners in the clinical examination and control of breast cancer.关键词
乳腺肿瘤/防治/筛查/流程Key words
Breast neoplasms/Prevention and treatment/Screening/Process分类
医药卫生引用本文复制引用
陈戈,朱吉,马恰怡,毕芳芳,王洁,李黎,谈玉婷,王磊..基于综合医院-社区协作模式的乳腺癌防治流程构建研究[J].中国全科医学,2018,21(19):2291-2296,6.基金项目
长宁区科学技术委员会资助项目(CNKW2015Y11)——社区乳腺癌防治流程的构建及实证研究 （CNKW2015Y11）
