描述在一个综合性癌症中心内实施的不同多学科团队模型
Sara Alfieri1, Cinzia Brunelli2, Claudia Borreani1
1Clinical Psychology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Journal of multidisciplinary healthcare
|July 5, 2023
概括
瘤学中的多学科团队合作 (MDTW),包括多学科团队会议 (MDTM) 和多学科癌症诊所 (MDCC),显示关键专家如护士和心理学家的参与有限,尽管这是最佳实践.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 临床实践 临床实践
背景情况:
- 多学科团队合作 (MDTW) 被认为是瘤学的最佳实践.
- 医疗多学科工作包括多学科团队会议 (MDTM) 和多学科癌症诊所 (MDCC).
- 目前MDTW模型的实施在癌症中心中异构.
研究的目的:
- 描述在综合癌症中心实施的各种多学科团队合作 (MDTW) 模型.
- 分析不同MDTW的组成,目标和患者群体.
- 评估MDTW中患者报告结果指标 (PROM) 的使用情况.
主要方法:
- 与临床单位主任进行结构化采访,以确定MDTW活动.
- 收集关于MDTW类型,团队组成,目标,疾病阶段和PROM使用的数据.
- 描述性分析和社交网络分析 (SNA) 来映射团队互动.
主要成果:
- 确定了25个多学科团队会议 (MDTM) 和13个多学科癌症诊所 (MDCC).
- 团队主要由医生组成;病例经理,息治疗和心理学家的参与是有限的,特别是对于早期疾病.
- MDTWs主要旨在整合专业技能并优化诊断和高级疾病阶段的患者护理途径.
- 患者报告结果测量 (PROM) 很少使用 (24%的MDTM,23%的MDCC).
- 社会网络分析揭示了类似的团队密度,但在MDCC中孤立的节点 (病理学家,放射学家).
结论:
- 尽管对晚期癌症的参与度很高,但息治疗专家,心理学家和护士对MDTWs的参与度有限.
- MDTW模型的异质实施可能会影响全面的患者护理.
- 需要进一步的研究来优化MDTW中的团队组成和PROM集成.
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