CN113593685A - Day chemotherapy management platform and method for comprehensive hospital - Google Patents
Day chemotherapy management platform and method for comprehensive hospital Download PDFInfo
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Abstract
The invention provides a daily chemotherapy management platform and a method for a comprehensive hospital, wherein the management platform comprises a daily chemotherapy center and a plurality of special departments, chemotherapy patients are received and treated by the daily chemotherapy center or the corresponding special departments, the daily chemotherapy center comprises a diagnosis module, a management module, a medical module and a service module, the special departments are used for evaluating the chemotherapy patients in advance and determining a primary treatment scheme, the diagnosis module is used for auditing and communicating the primary treatment scheme and determining a final treatment scheme, the management module schedules according to the final treatment scheme and sends scheduling information to the medical module, the medical module performs chemotherapy on the chemotherapy patients according to the final treatment scheme, and the service module announces and follows up the chemotherapy patients in the chemotherapy intermission period. The invention realizes the unified and centralized standardized treatment of the daytime chemotherapy, fully exerts the due effect of surgical resources and ensures that the original department chemotherapy patients do not lose and the platform resources are utilized to the maximum extent.
Description
Technical Field
The invention relates to the technical field of tumor treatment, in particular to a comprehensive hospital daytime chemotherapy management platform and a comprehensive hospital daytime chemotherapy management method.
Background
The exploration of chemotherapy treatment modes is always the hot in the field of tumor chemotherapy treatment and is also a difficult point in hospital management. In summary, there are three main modes of chemotherapy day-to-day chemotherapy at present: firstly, chemotherapy is carried out in various departments of the hospital during the day; secondly, a comprehensive chemotherapy daytime chemotherapy center is established in the hospital, which is similar to an outpatient infusion management mode; thirdly, the hospital establishes a comprehensive daytime chemotherapy department, and all chemotherapy treatments are carried out by the daily chemotherapy department. The first mode has the situations of resource repeated investment, bed occupation and the like for a hospital; for departments, a chemotherapy management team system is not sound, medical care patients are difficult to communicate fully, and the management difficulty of treatment intermittence is large; for chemotherapy patients, doctors cannot be found (doctors are in operations, outpatients and the like), the treatment time is uncertain when entering the department, the treatment intermittence period is unattended, the bed waiting time is long, and the like. In the second mode, chemotherapy patients cannot be treated by other departments except the center in the chemotherapy center in the daytime, the department resistance exists when the chemotherapy center is carried out in all hospitals in the one-cutting mode, the chemotherapy of the chemotherapy patients after the operation is also emphasized by considering the survival and development of part of departments, and the complete stripping of the business has difficulty in carrying out the chemotherapy because the business is available to the department and income; for chemotherapy patients, the outpatient medicine prescription and transfusion are insufficient for the long-term rehabilitation care of the patients with chronic tumor chemotherapy, and the satisfaction of the patients with chemotherapy is low. In the third mode, day chemotherapy is set up in the department of living, and the mode is also a knife cutting mode, and the resistance exists in the department.
In order to solve the problems, how to standardize and centralize chemotherapy treatment, fully utilize hospital medical resources and improve medical service quality becomes the subject of thinking of a plurality of hospitals.
Disclosure of Invention
The invention aims to provide a daily chemotherapy management platform and a daily chemotherapy management method for a comprehensive hospital, which realize unified and centralized standardized treatment of daily chemotherapy, fully play the due role of surgical resources and ensure that chemotherapy patients in the original department do not lose and the platform resources are utilized to the maximum.
In order to achieve the above purpose, the invention provides a daily chemotherapy management platform for a comprehensive hospital, which comprises a daily chemotherapy center and a plurality of specialized departments, wherein chemotherapy patients are received and treated by the daily chemotherapy center or the corresponding specialized departments, the daily chemotherapy center comprises a diagnosis module, a management module, a medical module and a service module, the specialized departments are used for evaluating the chemotherapy patients in advance and determining a preliminary treatment scheme, the diagnosis module is used for auditing and communicating the preliminary treatment scheme and determining a final treatment scheme, the management module schedules the chemotherapy patients according to the final treatment scheme and sends scheduling information to the medical module, the medical module performs chemotherapy on the chemotherapy patients according to the final treatment scheme, and the service module teaches and follows up the chemotherapy patients in an intermittent chemotherapy period.
Optionally, the chemotherapy patients belong to the daytime chemotherapy center and the corresponding special department at the same time, and are managed by doctors of the daytime chemotherapy center and doctors in the special department together.
Optionally, the daytime chemotherapy center further comprises an outpatient intensive case-keeping and reporting module, wherein the outpatient intensive case-keeping and reporting module is used for arranging an outpatient department to directly complete the review and oral medicine treatment of chemotherapy patients and realizing cost reporting.
Optionally, the diagnosis module audits and communicates the preliminary treatment plan in an online MDT manner, and determines a final treatment plan.
Optionally, the preliminary treatment regimen includes chemotherapy, radiation therapy, and surgery.
Optionally, the management module is further configured to inform a corresponding doctor and a chemotherapy patient of the treatment time in advance, so that the doctor prepares a drug in advance to perform chemotherapy on the chemotherapy patient.
Optionally, the service module is used for arranging a nursing team to perform propaganda and education and follow-up visit on the chemotherapy patients by means of a hospital follow-up visit management system.
Optionally, the propaganda and education and the follow-up visit rely on a WeChat platform to push the propaganda and education content and push the follow-up visit evaluation scale so as to complete the evaluation and tracking of the treatment effect.
Optionally, the announcement and the follow-up visit are performed in a telephone communication mode.
Based on the above, the invention also provides a comprehensive hospital daytime chemotherapy management method, which comprises the following steps:
establishing a daytime chemotherapy center, wherein a chemotherapy patient is treated by the daytime chemotherapy center or a corresponding special department, and the daytime chemotherapy center comprises a diagnosis module, a management module, a medical module and a service module;
assessing said chemotherapy patients in advance by said specialist department to determine a preliminary treatment regimen;
reviewing and communicating the preliminary treatment plan through the diagnosis module, and determining a final treatment plan;
enabling the management module to schedule according to the final treatment scheme and sending scheduling information to the medical module;
treating, by the medical module, the chemotherapy patient according to the final treatment regimen;
and (4) performing propaganda and follow-up on the chemotherapy patient in the treatment intermission period through the service module.
In the comprehensive hospital daytime chemotherapy management platform and method provided by the invention, the independent daytime chemotherapy center is established, so that chemotherapy patients belong to the daytime chemotherapy center and a corresponding special department at the same time, unified and centralized standardized treatment of daily chemotherapy is realized, the due effects of surgical resources are fully exerted, the standardization and individuation of chemotherapy treatment are ensured to be simultaneously considered, and the condition that the chemotherapy patients in the original department do not lose and the maximum utilization of platform resources is ensured. In addition, the chemotherapy safety of the chemotherapy patients is ensured, the chemotherapy flow is optimized and the medical experience of the chemotherapy patients is improved by designing different functional modules.
Drawings
FIG. 1 is a schematic structural diagram of a comprehensive hospital daytime chemotherapy management platform provided in an embodiment of the present invention;
FIG. 2 is a flow chart of the general hospital daytime chemotherapy treatment provided by the present embodiment;
fig. 3 is a flowchart of the comprehensive hospital outpatient review or oral medicine provided in this embodiment.
In the drawings:
10-the daytime chemotherapy center; 11-a diagnostic module; 12-a management module; 13-a medical module; 14-a service module; 15-diagnosis and intensive care record reporting module; 20-department of specialty.
Detailed Description
The core idea of the invention is to provide a daily chemotherapy management platform and a method for a comprehensive hospital, wherein the daily chemotherapy management platform for the comprehensive hospital comprises a daily chemotherapy center and a plurality of special departments, chemotherapy patients are treated by the daily chemotherapy center or the corresponding special departments, the daytime chemotherapy center comprises a diagnosis module, a management module, a medical module and a service module, the special department is used for evaluating the chemotherapy patients in advance and determining a preliminary treatment scheme, the diagnosis module is used for auditing and communicating the preliminary treatment scheme, and determining a final treatment plan, the management module schedules according to the final treatment plan and sends scheduling information to the medical module, the medical module carries out chemotherapy on the chemotherapy patients according to the final treatment scheme, and the service module carries out propaganda and follow-up on the chemotherapy patients in the chemotherapy intermission period.
By establishing the independent daytime chemotherapy center, the chemotherapy patients belong to the daytime chemotherapy center and the corresponding specialized departments at the same time, unified and centralized standardized treatment of the daytime chemotherapy is realized, due effects of surgical resources are fully exerted, the standardization and individuation of the chemotherapy treatment are ensured to be simultaneously considered, and the loss of the chemotherapy patients in the original departments and the maximized resource utilization of the platform are ensured. In addition, the chemotherapy safety of the chemotherapy patients is ensured, the chemotherapy flow is optimized and the medical experience of the chemotherapy patients is improved by designing different functional modules.
To further clarify the objects, advantages and features of the present invention, a more particular description of the invention will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings. It is to be noted that the drawings are in greatly simplified form and are not to scale, but are merely intended to facilitate and clarify the explanation of the embodiments of the present invention. Further, the structures illustrated in the drawings are often part of actual structures. In particular, the drawings may have different emphasis points and may sometimes be scaled differently.
As used in this application, the singular forms "a," "an," and "the" include plural referents unless the content clearly dictates otherwise. As used in this disclosure, the term "or" is generally employed in its sense including "and/or" unless the content clearly dictates otherwise. As used in this disclosure, the term "plurality" is generally employed in its sense including "at least one" unless the content clearly dictates otherwise. As used in this disclosure, the term "at least two" is generally employed in a sense including "two or more" unless the content clearly dictates otherwise. Furthermore, the terms "first", "second", "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, features defined as "first", "second", "third" may explicitly or implicitly include one or at least two of the features.
Referring to fig. 1-2, fig. 1 is a schematic structural diagram of a day chemotherapy management platform of a general hospital according to an embodiment of the present invention, and fig. 2 is a flowchart of day chemotherapy treatment of the general hospital according to the embodiment. The embodiment provides a daily chemotherapy management platform for a comprehensive hospital, which comprises a daily chemotherapy center 10 and a plurality of special departments 20, wherein chemotherapy patients are received and treated by the daily chemotherapy center 10 or the corresponding special departments 20, the daytime chemotherapy center 10 comprises a diagnosis module 11, a management module 12, a medical module 13 and a service module 14, the specialist department 20 is used to evaluate the chemotherapy patients in advance, determine a preliminary treatment plan, the diagnosis module 11 is used to review and communicate the preliminary treatment plan, and determines a final treatment plan, the management module 12 schedules and transmits scheduling information to the medical module 13 according to the final treatment plan, the medical module 13 carries out chemotherapy on the chemotherapy patients according to the final treatment scheme, and the service module 14 carries out propaganda and follow-up on the chemotherapy patients in the chemotherapy intermission period.
Specifically, chemotherapy patients need to provide electronic admission certificates between diagnoses and detection medical orders before treatment, whether the patients should enter a platform for treatment or not is judged after comprehensive analysis is carried out on the information of the medical orders, the illness states of the chemotherapy patients, diagnosis and the like, admission procedures and payment are handled in hospitalization, the chemotherapy patients entering the platform belong to the original department at the same time, accordingly, the fact that the patients in the original department do not lose and the platform can be utilized to the maximum resources is guaranteed, and the chemotherapy patients, the department and the hospital can be benefited together finally.
Preferably, the chemotherapy patients belong to the daytime chemotherapy center 10 and the corresponding special department 20 at the same time, and are managed by the doctor of the daytime chemotherapy center 10 and the doctor in charge of the special department 20. By establishing a flexible treatment path, the primary doctor or the operating doctor of the chemotherapy patient can be fully considered to know the state of illness and the operating condition, so that the chemotherapy patient can be managed by the doctor of the daytime chemotherapy center 10 and the doctor in charge of the special department 20 together, and the chemotherapy patient can be relieved.
In this embodiment, the department 20 is used to evaluate the chemotherapy patients in advance and determine a preliminary treatment plan, which includes chemotherapy, radiotherapy and surgery. After a preliminary treatment plan is determined, such as a need for chemotherapy, the diagnostic module 11 may review and communicate the preliminary treatment plan and determine a final treatment plan, which is essentially a refinement of the preliminary treatment plan, including information on the type of medication, the amount of medication, etc.
Preferably, the diagnostic module 11 evaluates the chemotherapy patient using on-line MDT to determine the final treatment regimen. The multiple disciplinary diagnosis and treatment Model (MDT) originated in the last 90 th century and was first introduced by the american group of medical experts. Under the mode, experts from departments such as surgery (oncology surgery), (oncology) internal medicine, radiotherapy department, radiology department, pathology department, endoscope center and the like form a relatively fixed treatment team (namely MDT), and for a certain disease and a certain patient, an optimal treatment scheme suitable for the current state of illness of the patient is provided through a regular and timed expert consultation mode, then the treatment scheme is strictly executed by the subject in charge of the patient alone or in combination with multiple subjects, and meanwhile, the quality evaluation and optimization are carried out on the treatment feedback of the patient regularly, and the existing diagnosis and treatment mode is continuously corrected. That is, the MDT diagnosis and treatment mode is patient-centered, and combines the diagnosis and treatment advantages of multiple disciplines strongly, in order to achieve the maximum benefit of clinical treatment.
After the final treatment plan is determined, scheduling is performed by the management module 12 according to the final treatment plan and scheduling information is sent to the medical module 13. During specific implementation, the electronic information system can be combined to automatically realize scheduling and seat arrangement according to medical orders or treatment plans, doctors and chemotherapy patients are automatically prompted one day in advance, treatment (injection, infusion and the like) is classified, the number calling is ordered, and then chemotherapy is performed on the chemotherapy patients through the medical module 13 according to the final treatment scheme, so that limited sickbed resources are utilized most reasonably, numerous tumor chemotherapy patients are treated and continuously managed in time, and the treatment experience of the chemotherapy patients is improved.
The service module 14 announces and follows up the chemotherapy patients during the chemotherapy intermission period. Preferably, the service module 14 arranges a nursing team to perform announcements and follow-up visits on the chemotherapy patients by means of a hospital follow-up management system. The propaganda and education and follow-up rely on a WeChat platform to push the propaganda and education content and push the follow-up assessment scale so as to complete the assessment and tracking of the treatment effect. During the chemotherapy intermission period, the nursing team customizes and quantifiables follow-up questionnaires according to different tumor diseases and the conditions of chemotherapy patients and sends the follow-up questionnaires to the chemotherapy patients in a WeChat form. Aiming at the aged chemotherapy patients, a telephone communication mode can be adopted, and the questionnaire is completed by a care computer terminal or a follow-up staff through a WeChat, and treatment evaluation is automatically expanded through the questionnaire result. The chemotherapy patients are stratified by evaluation, so that the medical staff pay attention to the stratification as a basis for adjusting the treatment scheme.
Preferably, the daytime chemotherapy center 10 further comprises an outpatient intensive case record reporting module 15, and the outpatient intensive case record reporting module 15 is used for arranging the outpatient department to directly complete the review and oral medicine treatment of the chemotherapy patients and realize the direct cost reporting. The outpatient intensive case-keeping direct reporting module 15 gets through a medical insurance reimbursement path, so that the re-treatment and oral medicine treatment of the chemotherapy patients can be directly completed in the outpatient service, and the outpatient intensive case-keeping direct reporting module can directly complete the re-treatment and the direct reporting in hospitals, thereby being beneficial to optimizing the chemotherapy treatment and re-examination processes of the chemotherapy patients, reducing the cost burden of the chemotherapy patients and reducing the capital pressure of medical insurance.
Specifically, referring to fig. 3, fig. 3 is a flow chart of outpatient review or oral administration in the comprehensive hospital provided in this embodiment, after a clinician performs review and oral chemotherapy scheme filing on a chemotherapy patient, the chemotherapy patient registers for a doctor, then the outpatient intensive case filing direct reporting module 15 calls for filing to generate a review or oral chemotherapy scheme, and after the chemotherapy patient takes a medicine according to the chemotherapy scheme, the outpatient intensive case filing direct reporting module 15 settles and reimburses the medicine. During this period, the outpatient can adjust the treatment regimen based on the results of the chemotherapy patient's examination.
Based on this, the invention provides a comprehensive hospital daytime chemotherapy management method, which comprises the following steps:
step S1, establishing a daytime chemotherapy center, wherein chemotherapy patients are treated by the daytime chemotherapy center or a corresponding special department, and the daytime chemotherapy center comprises a diagnosis module, a management module, a medical module and a service module;
step S2, evaluating the chemotherapy patients in advance through the special department, and determining a preliminary treatment plan
Step S3, checking and communicating the preliminary treatment plan through the diagnosis module, and determining a final treatment plan;
step S4, the management module schedules according to the final treatment scheme and sends scheduling information to the medical module;
step S5, treating the patient according to the final treatment plan through the medical module;
and step S6, announcing and follow-up visiting the chemotherapy patients in the treatment intermission period through the service module.
The hospital in a certain place adopts the comprehensive hospital daytime chemotherapy management platform and the comprehensive hospital daytime chemotherapy management method, and the following remarkable effects are achieved:
1) the flow is optimized, the chemotherapy patients in one treatment period only need to handle the procedure for the first time, and then the treatment is carried out according to the treatment plan passing the evaluation, thereby realizing the centralized and standard management of the chemotherapy treatment. The one-stop solution between diagnoses is realized by rechecking and oral medicine treatment, and the flow is greatly simplified;
2) compared with the chemotherapy treatment traffic, the increase reaches 100.5 percent in the same ratio after the chemotherapy treatment traffic is started;
3) the concordant increase after the surgical chemotherapy patients were started was an average of 8%.
4) The average outpatient medical record time is only 3.8 minutes, 3 months of effective record 3400 patients are started, the medical insurance reimbursement rate is 81.57%, and the satisfaction of chemotherapy patients is 94%.
To sum up, the embodiment of the invention provides a comprehensive hospital daytime chemotherapy management platform and a method, by establishing an independent daytime chemotherapy center, chemotherapy patients belong to the daytime chemotherapy center and a corresponding special department at the same time, unified and centralized standard treatment of daily chemotherapy is realized, due effects of surgical resources are fully exerted, the standardization and individuation of chemotherapy treatment are ensured to be simultaneously considered, and meanwhile, the chemotherapy patients in the original department are prevented from losing and the platform is maximally utilized. In addition, the chemotherapy safety of the chemotherapy patients is ensured, the chemotherapy flow is optimized and the medical experience of the chemotherapy patients is improved by designing different functional modules.
The above description is only a preferred embodiment of the present invention, and does not limit the present invention in any way. It will be understood by those skilled in the art that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims.
Claims (10)
1. A comprehensive hospital daytime chemotherapy management platform is characterized by comprising a daytime chemotherapy center and a plurality of specialized departments, wherein chemotherapy patients are received and treated by the daytime chemotherapy center or the corresponding specialized departments, the daytime chemotherapy center comprises a diagnosis module, a management module, a medical module and a service module, the specialized departments are used for evaluating the chemotherapy patients in advance and determining a primary treatment scheme, the diagnosis module is used for auditing and communicating the primary treatment scheme and determining a final treatment scheme, the management module schedules the final treatment scheme and sends scheduling information to the medical module, the medical module performs chemotherapy on the chemotherapy patients according to the final treatment scheme, and the service module performs propaganda and follow-up visits on the chemotherapy patients in a chemotherapy intermission period.
2. The integrated hospital daytime chemotherapy management platform according to claim 1, wherein the chemotherapy patients belong to the daytime chemotherapy center and the corresponding specialized departments at the same time, and are managed by a doctor of the daytime chemotherapy center and a doctor in charge of the specialized departments together.
3. The comprehensive hospital daytime chemotherapy management platform of claim 1, wherein the daytime chemotherapy center further comprises an outpatient intensive case record reporting module, and the outpatient intensive case record reporting module is used for arranging an outpatient clinic to directly complete the review and oral medicine treatment of chemotherapy patients and realize cost reporting.
4. The integrated hospital daytime chemotherapy management platform of claim 1, wherein said diagnostic module audits and communicates said preliminary treatment regimen in the form of an on-line MDT and determines a final treatment regimen.
5. The integrated hospital daytime chemotherapy management platform according to claim 1 or 4, wherein said preliminary treatment protocol includes chemotherapy, radiation therapy and surgery.
6. The integrated hospital daytime chemotherapy management platform of claim 1, wherein the management module is further configured to inform a doctor and a chemotherapy patient of treatment time in advance, so that the doctor prepares drugs in advance to perform chemotherapy on the chemotherapy patient.
7. The integrated hospital daytime chemotherapy management platform of claim 1, wherein the service module schedules a care team to perform announcements and follow-up visits on the chemotherapy patients by virtue of a hospital follow-up management system.
8. The integrated hospital daytime chemotherapy management platform according to claim 7, wherein the propaganda and follow-up relies on a WeChat platform to push propaganda and education content and push follow-up assessment scales to complete assessment and tracking of treatment effects.
9. The integrated hospital daytime chemotherapy management platform of claim 7, wherein said announcements and follow-up visits are conducted by telephone communication.
10. A comprehensive hospital daytime chemotherapy management method is characterized by comprising the following steps:
establishing a daytime chemotherapy center, wherein a chemotherapy patient is treated by the daytime chemotherapy center or a corresponding special department, and the daytime chemotherapy center comprises a diagnosis module, a management module, a medical module and a service module;
assessing said chemotherapy patients in advance by said specialist department to determine a preliminary treatment regimen;
reviewing and communicating the preliminary treatment plan through the diagnosis module, and determining a final treatment plan;
enabling the management module to schedule according to the final treatment scheme and sending scheduling information to the medical module;
treating, by the medical module, the chemotherapy patient according to the final treatment regimen;
and (4) performing propaganda and follow-up on the chemotherapy patient in the treatment intermission period through the service module.
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| CN103279660A (en) * | 2013-05-23 | 2013-09-04 | 浙江大学 | Chemoradiotherapy standardized cloud center system |
| CN106599545A (en) * | 2016-11-21 | 2017-04-26 | 深圳市医诺智能科技发展有限公司 | Dynamic management method of radiation therapy processes |
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