Bosl G J, Malbin K F
Division of Solid Tumor Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Oncology (Williston Park). 1997 Nov;11(11A):33-8.
Memorial Sloan-Kettering Cancer Center staff, in conjunction with Cambridge Technology Partners, has designed, developed, and begun to implement a disease management system (DMS) as a means of standardizing the care of the center's patients with cancer. The disease management system is centrally coordinated through disease management teams, which include physicians from each of the major oncology disciplines--radiation, medicine, and surgery--as well as specialists and other professionals involved in patient care. The system is comprised of four modules: system administration, treatment pathways, patient management, and outcomes analysis. In July 1966, the gynecology team began to pilot this program, and the remaining 16 disease management teams were incorporated, in phases, during the rest of 1996. The regional sites are being incorporated in 1997. After a brief summary of the basic features of the disease management system, this article describes the implementation process and the accomplishments to date.
纪念斯隆-凯特琳癌症中心的工作人员与剑桥技术合作伙伴共同设计、开发并开始实施一种疾病管理系统（DMS），以此作为规范该中心癌症患者护理的一种方式。疾病管理系统通过疾病管理团队进行集中协调，这些团队包括来自各个主要肿瘤学科（放射肿瘤学、医学肿瘤学和外科肿瘤学）的医生，以及参与患者护理的专家和其他专业人员。该系统由四个模块组成：系统管理、治疗路径、患者管理和结果分析。1996年7月，妇科团队开始试点该项目，其余16个疾病管理团队在1996年剩余时间分阶段纳入。各地区站点将于1997年纳入。在简要总结疾病管理系统的基本特征之后，本文描述了实施过程和迄今为止所取得的成就。
