波兰国家癌症网络试点项目：国家癌症网络运行情况评估及肺癌质量指标结果（2019-2021 年）。

The pilot project of the National Cancer Network in Poland: Assessment of the functioning of the National Cancer Network and results from quality indicators for lung cancer (2019-2021).

机构信息

Department of Oncology, Wroclaw Medical University, pl. L. Hirszfelda 12, 53-413, Wroclaw, Poland.

Department of Radiotherapy, Lower Silesian Oncology, Pulmonology and Haematology Center, Pl. L, Hirszfelda 12, Wroclaw, 53-413, Poland.

出版信息

BMC Cancer. 2022 Aug 31;22(1):939. doi: 10.1186/s12885-022-10020-9.

DOI:10.1186/s12885-022-10020-9

PMID:36045330

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9434856/

Abstract

BACKGROUND

This analysis presents the outcomes of the operations of the National Cancer Network (NCN) pilot project in Lower Silesian Voivodeship, Poland, for lung cancer for the period of 2019-2021. The results concerning measures of the quality of medical processes were analysed.

METHODS

Twenty-one measures used to gauge the quality of oncological care for lung cancer were assessed. Data collection and processing for the purpose of calculating the measures were carried out as part of the NCN pilot project based on the Regulation of the Ministry of Health enacted on 13 December 2018. The measures were calculated at the Voivodeship Coordination Center, and the data were derived from the centres included in the network in the area of the analysed voivodeship.

RESULTS

A total of 3,638 patients diagnosed with lung cancer were enrolled in the NCN pilot program during the analysed period. For 3 measures, out of 21, target values were obtained. For 2 measures, the values differed significantly from the assumed target value.

CONCLUSION

In our opinion, the NCN pilot study, as a test of the network's functioning, meets the assumed goal. The NCN assessment is based on, inter alia, analysis of the outcomes of oncological quality of care measures for lung cancer, and facilitates monitoring of the quality of medical services provided and the identification of areas for improvement. In addition, the pilot program, which will last until the end of 2022, will allow for further in-depth analysis regarding the network's limitations before implementing the system on a national scale in Poland. This will be the subject of further investigation.

摘要

背景

本分析报告呈现了波兰下西里西亚省国家癌症网络（NCN）试点项目在肺癌手术方面的结果，时间跨度为 2019 年至 2021 年。分析了与医疗流程质量相关的措施。

方法

评估了 21 项用于衡量肺癌肿瘤学护理质量的措施。数据收集和处理是作为 NCN 试点项目的一部分进行的，该项目基于 2018 年 12 月 13 日颁布的卫生部法规。该措施是在省级协调中心计算的，数据来自该省网络内的中心。

结果

在分析期间，共有 3638 名肺癌患者参加了 NCN 试点项目。在 21 项措施中，有 3 项达到了目标值。有 2 项措施的值与目标值显著不同。

结论

我们认为，NCN 试点研究作为对网络运行的测试，达到了预期的目标。NCN 评估不仅基于对肺癌肿瘤学护理质量措施结果的分析，还促进了对所提供医疗服务质量的监测和确定改进领域。此外，试点项目将持续到 2022 年底，以便在波兰全国范围内实施该系统之前，进一步深入分析网络的局限性。这将是进一步研究的主题。