不是所有的MDT都是平等的:HPBMDT实践的国际调查
Harini Dharanikota1, Lachlan Dick2, Stephen J Wigmore2
1Surgical Sabermetrics Laboratory, Centre for Medical Informatics, Usher Institute, University of Edinburgh, EH16 4UX, Edinburgh, Scotland, UK.
概括
在全球范围内,多学科的肝脑肠 (HPB) 多学科团队 (MDTs) 显示出显著的实践差异. 标准化MDT流程对于提高癌症护理效率和患者治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多学科团队 (MDTs) 是癌症护理的核心.
- 全球范围内的肝脑胆道 (HPB) MDT实践的变化阻碍了最佳的癌症护理提供.
- 需要标准化来简化HPB MDT操作.
研究的目的:
- 为了记录HPBMDT实践的全球变化.
- 制定一个检查清单来评估现有的MDT实践.
- 为建立新的HPB癌症服务提供指导.
主要方法:
- 通过HPB协会 (IHPBA,E-AHPBA) 分发的国际调查.
- 29个问题调查,包括封闭式和开放式问题.
- 使用描述性统计和诱导性内容分析进行分析.
主要成果:
- 分析了来自31个国家的72个回答.
- 在核心团队组成,主持,案件负载规划,信息共享和审计实践中发现了实质性的变化.
- 报告了影响MDT效率的常见问题.
结论:
- 在全球范围内,HPB MDT护理被不一致地理解和应用.
- 缺乏标准化需要改进案例准备,专家投入和审计指标.
- 在MDT设计中应考虑人为因素,以提高决策和效率.
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