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Incentive Configuration Pathways for Standardization of Cancer Multidisciplinary Teams in China: A Fuzzy-Set
Yiqing Mao1,2, Linru Jie1,3, Bowen Zhang1
1The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, Henan, 450008, People's Republic of China.
Risk Management and Healthcare Policy
|August 1, 2026
Summary
Incentive strategies significantly impact cancer multidisciplinary team (MDT) standardization in China. Flexible approaches focusing on performance, autonomy, and relationships enhance MDT implementation and effectiveness.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Health Services Research
Background:
- Cancer multidisciplinary teams (MDTs) are crucial for coordinated patient care.
- Standardization of MDT implementation is essential for consistent quality.
- Understanding incentive mechanisms is key to optimizing MDT performance.
Purpose of the Study:
- To evaluate current incentive means and schemes in Chinese cancer MDTs.
- To identify configuration pathways influencing MDT standardization levels.
- To provide evidence-based recommendations for improving MDT implementation.
Main Methods:
- Survey of 1,332 MDT members using a questionnaire based on practical experience and relational incentives theory.
- Application of fuzzy-set qualitative comparative analysis (fsQCA) to explore synergistic influence pathways.
- Analysis of combinations of incentive means and schemes impacting standardization.
Main Results:
- Two high-standardization pathways for incentive means: comprehensive (rewards, autonomy, relationships) and intrinsic (learning, autonomy, relationships).
- Four pathways for incentive schemes: procedure-standardized (efficiency, evaluation) and result-oriented (distribution, fairness).
- Identified substitutive effects among incentive means and population applicability differences in schemes.
Conclusions:
- Incentive means offer flexibility for tailoring to local resources and stages, impacting hospital governance.
- Incentive schemes require tailoring to diverse needs to enhance implementation and prevent ineffectiveness.
- Findings guide policymakers in designing flexible regulations for cancer MDTs.
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