Multidisciplinary team meetings in Hematology: a national mixed-methods study

Area of Science:

• Oncology
• Hematology
• Medical Decision-Making

Background:

• Multidisciplinary team meetings (MDTMs) are standard in cancer care, but their specific application in hematology is under-researched.
• Understanding MDTM processes across specialties is crucial for identifying factors that enhance their effectiveness.
• This study investigates participant perceptions of hematology MDTMs using a mixed-methods approach.

Purpose of the Study:

• To explore the unique characteristics and challenges of MDTMs within the field of hematology.
• To identify key areas for improvement in the collegial decision-making process for hematological cases.
• To provide insights for optimizing MDTMs in hematology practice.

Main Methods:

• A national, mixed-methods study was conducted in France.
• Quantitative data were collected via online questionnaires from 205 healthcare professionals.
• Qualitative data were gathered through semi-directive phone interviews with 22 participants.

Main Results:

• Hematology MDTMs exhibit unique features, including a distinct definition of collegiality, frequent expert consultations, and pre-meeting treatment planning.
• Participants highlighted the need for incorporating patient wishes and psychosocial factors into discussions.
• The subjective atmosphere and relational dynamics within MDTMs significantly impact medical decisions.

Conclusions:

• While MDTMs are valuable, organizational and interpersonal factors can impede their efficiency in hematology.
• Improving MDTM effectiveness requires a focus on complex cases, patient-centeredness, and teamwork.
• Tailoring MDTMs to the specificities of hematology is essential for enhancing collegial decision-making.