Barwon South Western Regional Integrated Cancer Services, 70 Swanston Street, Geelong, VIC 3220, Australia.
Andrew Love Cancer Centre, 70 Swanston Street, Geelong, VIC 3220, Australia.
Int J Qual Health Care. 2021 Feb 20;33(1). doi: 10.1093/intqhc/mzaa145.
The implementation of clinical quality indicators for monitoring cancer care in regional, rural and remote areas.
Retrospective data from a population-based Clinical Quality Registry for lung, colorectal and breast cancers.
All major health services in the Barwon South Western region, Victoria, Australia.
All patients who were diagnosed with cancer and who presented to a health service.
INTERVENTION(S): Clinical subgroups to review variations.
MAIN OUTCOME MEASURES(S): Clinical quality indicators for lung, colorectal and breast cancers.
Clinical indicators included the following: discussion at multidisciplinary meetings, the timeliness of care provided and the type of care for different stages of the disease and survival outcomes. Many of the derived clinical indicator targets were reached. However, variations led to an improvement in the tumour stage being recorded in the medical record; an improved awareness of the need for adjuvant chemotherapy for colorectal cancer; a reduction in time to treatment for lung cancer and a reduced time to surgery for breast cancer, and the 30-day mortality post-treatment for all of the tumour streams was highlighted.
Clinical quality indicators allow for valuable insights into patterns of care. These indicators are easily reproduced and may be of use to other cancer centres and health services.
在区域、农村和偏远地区实施癌症治疗的临床质量指标以进行监测。
基于人群的肺癌、结直肠癌和乳腺癌临床质量登记处的回顾性数据。
澳大利亚维多利亚州巴旺西南地区的所有主要卫生服务机构。
被诊断患有癌症并前往卫生服务机构就诊的所有患者。
对临床亚组进行审查以发现差异。
肺癌、结直肠癌和乳腺癌的临床质量指标。
临床指标包括：多学科会议讨论、提供护理的及时性以及针对疾病不同阶段和生存结果的护理类型。许多衍生的临床指标目标都已实现。然而，差异促使提高了医疗记录中肿瘤分期的记录水平；提高了对结直肠癌辅助化疗需求的认识；肺癌治疗时间缩短，乳腺癌手术时间缩短，所有肿瘤治疗后的 30 天死亡率都有所降低。
临床质量指标可以深入了解治疗模式。这些指标易于复制，可能对其他癌症中心和卫生服务机构有用。
