Analysis of the results from a questionnaire survey on the integrated management of lung cancer patients_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHEN Xi ^1,2 , ZHOU Sicheng ³ , ZHOU Yongzhao ² ,  CHE Guowei ^3,4

1. West China School of Nursing, Sichuan University, Chengdu, 610041, P. R. China;
2. Department of Integrated Care Management Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
3. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
4. Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding?author：

CHE Guowei, Email: Chebenben2005@163.com

Keywords：

Integrated management; questionnaire survey; medical staff; specialist disease manager; lung cancer

DOI：

10.7507/1007-4848.202510073

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the implementation and promotion of integrated management of lung cancer (IMLC) in domestic hospitals. Methods An on-site questionnaire survey was administered to participating healthcare professionals, with 311 valid responses collected out of 400 distributed (response rate: 77.8%). Results (1) Although 43.72% of respondents considered the current level of IMLC implementation to be low, 97.42% expressed willingness to adopt it. (2) A lack of specialized disease managers was reported by 81.67% of the respondents, while 61.41% identified limited institutional support, inadequate teamwork, and the absence of specialized managers as major barriers to IMLC implementation. (3) The absence of a professional information management system was reported by 81.34% of respondents. Additionally, 72.66% indicated that insufficient human and material resources, lack of such a system, and low motivation among healthcare staff hindered further implementation of IMLC. (4) The majority of respondents (91.63%) believed that implementing IMLC could improve patient compliance and satisfaction.Conclusion Integrated management of lung cancer meets patient needs and enhances satisfaction, but its wider adoption requires supportive hospital policies and resources.

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16.	Berdal G, Kjeken I, Linge AD, et al. Examining the building blocks of health behavior change in rheumatology rehabilitation: a theory-driven qualitative study. J Multidiscip Healthc, 2024, 17: 3649-3662.
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24.	陳可欣, 王睆琳, 馮塵塵, 等. 國內外慢性病健康管理研究進展與對策分析. 中國衛生事業管理, 2022, 39(9): 717-720.Chen KX, Wang HL, Feng CC, et al. Research on the progress and countermeasures of health management of chronic diseases at home and abroad. Chin Health Serv Manag, 2022, 39(9): 717-720.
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29.	唐正, 李薇, 杜春霖, 等. 互聯網+慢病連續性健康管理模式的信息化平臺建設與實踐探討. 中國數字醫學, 2023, 18(3): 20-26.Tang Z, Li W, Du CL, et al. Construction and practice of information platform for Internet+ NCDs continuous health management mode. China Digit Med, 2023, 18(3): 20-26.
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35.	關于印發公立醫院高質量發展促進行動(2021—2025年)的通知. 中華人民共和國國家衛生健康委員會公報, 2021, (9): 2-5.Notice on issuing the action plan for promoting high-quality development of public hospitals (2021–2025). Gaz Natl Health Comm People’s Repub China, 2021, (9): 2-5.

1. Chinese Medical Association: Chinese Medical Association guideline for clinical diagnosis and treatment of lung cancer (2024 edition). Chin Med J, 2024, 46(9): 805-843.
2. 中國居民營養與慢性病狀況報告(2020年). 營養學報, 2020, 42(6): 521.Report on nutrition and chronic disease status of Chinese residents (2020). Acta Nutr Sin, 2020, 42(6): 521.
3. Mensah GA, Fuster V, Murray CJL, et al. Global burden of cardiovascular diseases and risks, 1990-2022. J Am Coll Cardiol, 2023, 82(25): 2350-2473.
4. Bai C, Choi CM, Chu CM, et al. Evaluation of pulmonary nodules: clinical practice consensus guidelines for Asia. Chest, 2016, 150(4): 877-893.
5. 劉丹, 黃燕, 周清華, 等. 肺結節/肺癌患者全程管理模式的設計與應用. 中國肺癌雜志, 2020, 23(5): 299-305.Liu D, Huang Y, Zhou QH, et al. Pulmonary nodules/lung cancer comprehensive management mode: design and application. Chin J Lung Cancer, 2020, 23(5): 299-305.
6. 王聰, 陳鳳, 劉珊珊, 等. 基于患者全程管理模式的肺癌專病管理師崗位設置與效果評價. 中國護理管理, 2021, 21(12): 1833-1837.Wang C, Chen F, Liu SS, et al. Post setting of lung cancer specialist disease manager based on the integrated care management mode. Chin J Nurs Manag, 2021, 21(12): 1833-1837.
7. 中國臨床腫瘤學會(CSCO)中國抗淋巴瘤聯盟, 中國醫師協會血液科醫師分會. 中國淋巴瘤患者全程管理模式專家共識(2021年版). 中華血液學雜志, 2021, 42(5): 364-368.Chinese Society of Clinical Oncology (CSCO) China Anti-Lymphoma Alliance, Chinese Medical Doctor Association Hematology Physician Branch. Expert consensus on the whole-process management model of lymphoma patients in China (2021). Chin J Hematol, 2021, 42(5): 364-368.
8. Zhou Q, Fan Y, Wu N, et al. Demonstration program of population-based lung cancer screening in China: rationale and study design. Thorac Cancer, 2014, 5(3): 197-203.
9. 林艷蘋, 馬潔, 吳萌, 等. 云南省昆明市城市癌癥早診早治項目: 肺癌高危人群評估及篩查效果分析. 中國肺癌雜志, 2020, 23(7): 541-546.Lin YP, Ma J, Wu M, et al. Cancer screening program in urban Kunming of Yunnan: evaluation of lung cancer risk assessment and screening. Chin J Lung Cancer, 2020, 23(7): 541-546.
10. 楊先碧, 周永召, 陳鳳, 等. 基于“互聯網+”的醫護管一體化肺結節/肺癌全程管理模式構建及實踐. 華西醫學, 2024, 39(4): 613-618.Yang XB, Zhou YZ, Chen F, et al. Construction and application of integrated management for patients with pulmonary nodules/lung cancer based on “internet plus” and health service team of treatment, nursing, and care. West Chin Med J, 2024, 39(4): 613-618.
11. 胡廣宇, 吳來陽, 孫靜. 我國136所三級醫院門診患者滿意度調查. 中華醫院管理雜志, 2016, 32(6): 423-427.Hu GY, Wu LY, Sun J. Survey of patient satisfaction with ambulatory services at 136 hospitals in China. Chin J Hosp Adm, 2016, 32(6): 423-427.
12. 中共中央辦公廳國務院辦公廳印發《關于進一步完善醫療衛生服務體系的意見》. 中國衛生質量管理, 2023, 30(6): 67.The General Office of the Communist Party of China Central Committee and the General Office of the State Council issued the “Opinions on further improving the healthcare service system. ”. Chin Health Qual Manag, 2023, 30(6): 67.
13. Chen TK, Knicely DH, Grams ME. Chronic kidney disease diagnosis and management: a review. JAMA, 2019, 322(13): 1294-1304.
14. Schuttner L, Wong ES, Rosland AM, et al. Association of the patient-centered medical home implementation with chronic disease quality in patients with multimorbidity. J Gen Intern Med, 2020, 35(10): 2932-2938.
15. Lorig K. Chronic disease self-management program: insights from the eye of the storm. Front Public Health, 2015, 2: 253.
16. Berdal G, Kjeken I, Linge AD, et al. Examining the building blocks of health behavior change in rheumatology rehabilitation: a theory-driven qualitative study. J Multidiscip Healthc, 2024, 17: 3649-3662.
17. 朱璇, 陳愛云. 國外經典慢性病管理模式對我國慢性病管理的啟示. 中國全科醫學, 2023, 26(1): 21-26.Zhu X, Chen AY. Enlightenment of foreign classical chronic disease management modes on the management of chronic diseases in China. Chin Gen Pract, 2023, 26(1): 21-26.
18. Cramm JM, Nieboer AP. The chronic care model: congruency and predictors among patients with cardiovascular diseases and chronic obstructive pulmonary disease in the Netherlands. BMC Health Serv Res, 2012, 12: 242.
19. Haggstrom DA, Taplin SH, Monahan P, et al. Chronic care model implementation for cancer screening and follow-up in community health centers. J Health Care Poor Underserved, 2012, 23(3 Suppl): 49-66.
20. 劉月星, 宗文紅, 王偉, 等. 基于慢病管理模式的新型慢病管理模式應用的SWOT分析. 中國全科醫學, 2013, 16(34): 4078-4080,4096.Liu YX, Zong WH, Wang W, et al. SWOT analysis of application of a new chronic care model. Chin Gen Pract, 2013, 16(34): 4078-4080,4096.
21. Uemura K, Yamada M, Okamoto H. The effectiveness of an active learning program in promoting a healthy lifestyle among older adults with low health literacy: a randomized controlled trial. Gerontology, 2021, 67(1): 25-35.
22. Allemang B, Samuel S, Greer K, et al. Transition readiness of youth with co-occurring chronic health and mental health conditions: a mixed methods study. Health Expect, 2023, 26(6): 2228-2244.
23. Santos SFD, Marques A, Rebelo P, et al. Effects of self-management interventions in people with interstitial lung disease. Respir Care, 2023, 69(1): 114-127.
24. 陳可欣, 王睆琳, 馮塵塵, 等. 國內外慢性病健康管理研究進展與對策分析. 中國衛生事業管理, 2022, 39(9): 717-720.Chen KX, Wang HL, Feng CC, et al. Research on the progress and countermeasures of health management of chronic diseases at home and abroad. Chin Health Serv Manag, 2022, 39(9): 717-720.
25. 羅秀. 慢性病管理中的雙向轉診機制. 川北醫學院學報, 2013, 28(3): 229-232.Luo X. Two-way referral mechanism of chronic disease management. J North Sichuan Med Coll, 2013, 28(3): 229-232.
26. 吳祎芬, 侯娟, 吳忠穎. 探討適合我國當前慢性病發展形勢的慢性病管理模式. 中國實用醫藥, 2017, 12(24): 196-197.Wu YF, Hou J, Wu ZY. Exploring chronic disease management models suitable for China's current chronic disease development context. China Pract Med, 2017, 12(24): 196-197.
27. 牛亞冬, 張研, 葉婷, 等. 我國基層醫療衛生機構醫療服務能力發展與現狀. 中國醫院管理, 2018, 38(6): 35-37,41.Niu YD, Zhang Y, Ye T, et al. Development and current situation of service capacity in primary medical institutions in China. Chin Hosp Manag, 2018, 38(6): 35-37,41.
28. 張銀華, 陳燕, 晉溶辰, 等. 我國社區慢性病管理模式及其評價. 全科護理, 2015, 13(24): 2351-2354.Zhang YH, Chen Y, Jin RC, et al. Community-based chronic disease management models in China and their evaluation. Chin Gen Pract Nurs, 2015, 13(24): 2351-2354.
29. 唐正, 李薇, 杜春霖, 等. 互聯網+慢病連續性健康管理模式的信息化平臺建設與實踐探討. 中國數字醫學, 2023, 18(3): 20-26.Tang Z, Li W, Du CL, et al. Construction and practice of information platform for Internet+ NCDs continuous health management mode. China Digit Med, 2023, 18(3): 20-26.
30. 唐正, 李景宇, 杜春霖, 等. 大型綜合公立醫院慢性病連續性健康管理模式的初步探索. 華西醫學, 2022, 37(12): 1863-1868.Tang Z, Li JY, Du CL, et al. Preliminary exploration of continuous health management model for chronic diseases in large general public hospitals. West Chin Med J, 2022, 37(12): 1863-1868.
31. Sav A, Kendall E, McMillan SS, et al. ‘You say treatment, I say hard work’: treatment burden among people with chronic illness and their carers in Australia. Health Soc Care Community, 2013, 21(6): 665-674.
32. 國務院辦公廳關于印發中國防治慢性病中長期規劃(2017—2025年)的通知. 中華人民共和國國務院公報, 2017, (7): 17-24.Notice of the General Office of the State Council on issuing the China medium- and long-term plan for chronic disease prevention and control (2017–2025). Gaz State Counc People’s Repub China, 2017, (7): 17-24.
33. 本刊訊. 國家衛生健康委、國家中醫藥局印發《改善就醫感受提升患者體驗主題活動方案(2023-2025年)》. 上海護理, 2023, 23(6): 5.News bulletin. The National Health Commission and the National Administration of Traditional Chinese Medicine have issued the “Action plan for improving the medical experience and enhancing patient care (2023-2025). ” Shanghai Nurs, 2023, 23(6): 5.
34. 進一步改善護理服務行動計劃(2023-2025年). 中國護理管理, 2023, 23(7): 961-963.Action plan for further improving nursing services (2023–2025). Chin J Nurs Manag, 2023, 23(7): 961-963.
35. 關于印發公立醫院高質量發展促進行動(2021—2025年)的通知. 中華人民共和國國家衛生健康委員會公報, 2021, (9): 2-5.Notice on issuing the action plan for promoting high-quality development of public hospitals (2021–2025). Gaz Natl Health Comm People’s Repub China, 2021, (9): 2-5.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Latest ArticlesAnalysis of the results from a questionnaire survey on the integrated management of lung cancer patients

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