Harness J K, Bartlett R H, Saran P A, Bord M A, Noble W C
Am Surg. 1987 Aug;53(8):419-23.
In 1985 the University of Michigan Medical Center established a multidisciplinary breast care center (BCC) to provide comprehensive diagnosis and treatment for patients with benign and malignant breast disease. Ninety-eight per cent of the first 500 new patients were women and 2 per cent were men. One-hundred thirty-one women (26.7%) and no men had breast cancer. Of the remaining 359 women, 75.3 per cent had some element of fibrocystic disease. Patients who had breast cancer were evaluated during their initial visit to the BCC by a nurse, general surgeon, radiation therapist, and oncologist. Ninety-five per cent of all patients were given a definitive treatment plan or a second opinion at the conclusion of their one visit to the center. Patient and physician satisfaction with the center concept has been high. The center emphasizes patient education and choice between mastectomy and breast-sparing procedures and radiation therapy for the control of primary cancers. Adjuvant chemotherapy or hormonal therapy is given to all nodal-positive patients. Establishment of multidisciplinary centers, such as the BCC, requires the commitment of all physician specialty groups, nursing and hospital administration. High quality patient care can be provided in such centers in a more efficient and coordinated manner than in the non-center setting. The center can serve as a source of increased patient referrals and research opportunities.
1985年，密歇根大学医学中心设立了一个多学科乳腺护理中心（BCC），为患有良性和恶性乳腺疾病的患者提供全面的诊断和治疗。前500名新患者中，98%为女性，2%为男性。131名女性（26.7%）患有乳腺癌，男性中无人患乳腺癌。在其余359名女性中，75.3%患有某种程度的纤维囊性疾病。患有乳腺癌的患者在首次就诊BCC时，会由护士、普通外科医生、放射治疗师和肿瘤学家进行评估。所有患者中有95%在结束首次就诊时都得到了明确的治疗方案或第二种意见。患者和医生对该中心理念的满意度很高。该中心强调患者教育以及在乳房切除术和保乳手术之间的选择，还有用于控制原发性癌症的放射治疗。所有淋巴结阳性患者都接受辅助化疗或激素治疗。设立多学科中心，如BCC，需要所有医生专业团体、护理人员和医院管理部门的共同努力。与非中心环境相比，在这样的中心能够以更高效、更协调的方式提供高质量的患者护理。该中心可以成为增加患者转诊和研究机会的来源。
