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上海市乳腺癌患者诊疗现状研究OA北大核心CSTPCD

Study on diagnosis and treatment status of breast cancer patients in Shanghai

中文摘要英文摘要

目的 归纳总结乳腺癌临床专家的访谈材料,探讨乳腺癌患者诊疗现状,为后续的临床科研研究和卫生政策制定提供依据.方法:采用专家深度访谈方法调研上海市具有代表性的医院的乳腺外科医生,应用扎根理论归纳总结乳腺癌患者诊疗现状.结果 对4名专家的访谈材料进行三级编码,梳理出15个初始类属,归纳总结为乳腺癌患者发病情况、基本特征、诊疗水平不断提升及诊疗方面面临的挑战4个主要类属,最终形成乳腺癌患者人群特征和乳腺癌患者治疗情况2个核心类属.结论 上海市乳腺癌就诊患者呈现年轻化、早期化趋势,诊疗水平不断提升,在创新药发展及保障政策方面仍面临一定挑战.应加强各部门、各环节联动,不断揭示乳腺癌发生发展的机制,坚持乳腺癌早诊早治,加强规范化诊疗工作,不断完善医疗保障制度,最大程度提高患者治愈率和生存率.

Objective The study aims to summarize the interview materials from clinical specialists on breast cancer,investigate the diagnosis and treatment status of breast cancer patients,and offer insights for future clinical research and health policy formulation.Methods The in-depth interview with experts was conducted to study the breast surgeons in the representative hospitals of Shanghai.The diagnosis and treatment status of breast cancer patients was analyzed using grounded theory.Results Following coding the interview materials from four experts by three levels,15 initial categories were condensed and summarized into four maingroups:incidence,basic characteristics,continuous improvement of diagnosis and treatment level and challenges encountered in diagnosing and treating of breast cancer patients.Finally,two core categories were established:population characteristics and treatment profiles of breast cancer patients.Conclusion Breast cancer patients in Shanghai are becoming younger and diagnosed at an earlier age,and the level of diagnosis and treatment has been steadily improving.There still exist specific challenges in drug development and security policies.It is necessary to strengthen the coordination across various departments and components,elucidate the mechanism underlying the onset and progression of breast cancer,prioritize early detection and treatment of breast cancer,enforce standardized diagnosis and treatment protocols,and improve the medical security system to optimize the patient cure and survival rates.

张娟;朱碧帆;侯晓慧;覃湫珺;金春林

复旦大学公共卫生学院,上海 200032上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所),上海 200031复旦大学公共卫生学院,上海 200032||上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所),上海 200031

临床医学

乳腺癌患者诊疗现状定性研究

Breast cancer patientsDiagnosis and treatment statusQualitative study

《健康发展与政策研究》 2024 (001)

11-14,35 / 5

上海市乳腺癌患者医疗费用负担研究课题(2022040B)

10.12458/HDPR.230378

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