中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (10): 803-805.

• 专家论坛 • 上一篇    下一篇

肿瘤治疗临床结局评估——以病人为中心的新理念

詹文华   

  1. 中山大学附属第一医院外科，广东广州510080
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-10-01 发布日期:2009-10-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-10-01 Published:2009-10-01

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摘要：

肿瘤病人的传统临床结局指标是病死率、并发症发生率、存活率和复发率等。新的理念认为，必须从病人的观点出发，树立新观念和使用新的结局评估工具，把以病人为中心的结局作为结局整体的特有部分进行评价。熟悉以病人为中心的结局至关重要，多数肿瘤外科医生熟知生活质量的概念，但还有其他类型的以病人为中心的指标，包括病人的选择权、决意后悔权和病人的满意度等。病人对治疗的选择与病人的教育程度和做决定的分析能力有关。决意后悔是一种负面情感，是失望和忧伤的情感状态。满意度常常被当作评估医疗服务系统的服务质量的重要指标。一些机构把病人满意度测评结果与医生的收入挂钩。

关键词: 临床结局指标, 医疗服务评估

Abstract:

New concept of measuring outcomes in oncology treatment-patient-centered outcomes ZHAN Wen-hua. Department of Surgery, the First Hospital, Sun Yat-sen University, Guangzhou 510080, China Abstract Traditional clinical outcomes indexes are mortality，morbidity，survival and recurrence. It must develop concepts and measurement tools that more broadly and reliably capture factors that influence outcome and define a health from the patient perspective. Familiarity with patient centered outcomes is imperative. Most surgical oncologists are familiar with the concept of quality of life; however, there are other types of patient-centered outcomes that can be addressed such as patient preference, decision regret and patient satisfaction. The regret is seen as an emotional state of disappointment or sorrow. The measurement of patient preference often is linked tightly to patient education, decisionmaking analysis. Satisfaction is an outcome measure that is gaining importance as a measure of quality health care. It is currently used by some health organizations to help calculate a physicians income.

Key words: clinical outcome indicators, assessment of health care services