"最高决策层面" - - 多学科团队会议作为边界空间
Henriette List1, Dorthe Brogård Kristensen2, Ole Graumann3
1Clinical Department, University of Southern Denmark, Winsløwparken 19, Odense C, 5000, Denmark.
Social science & medicine (1982)
|March 12, 2025
概括
多学科团队会议 (MDM) 提高了癌症护理的效率和一致性. 然而,这些关键的瘤板可以创建"门机制",限制不同的声音,并在选定的群体内塑造护理决策.
科学领域:
- 医疗保健管理的管理
- 医学社会学 医学社会学
- 临床决策 - 临床决策
背景情况:
- 多学科团队会议 (MDMs) 或瘤委员会是西方医疗保健协作决策的组成部分.
- 它们在优化癌症治疗途径和确保一致的治疗方案方面的作用得到了广泛认可.
- 了解这些关键医疗保健论坛中的动态对于改善患者的治疗结果至关重要.
研究的目的:
- 探索MDM在丹麦癌症护理中的意义和操作动态.
- 分析MDM内部专业人员所执行的协作边界工作.
- 调查MDM实践如何影响专业身份,权力动态和决策过程.
主要方法:
- 采用了民族学方法,涉及丹麦五所大学医院的实地研究.
- 数据收集的重点是观察和分析MDM期间的临床医生互动和决策过程.
- 开发了一个边界工作的类型学 (校准,反射,守护) 以了解专业的参与.
主要成果:
- 临床医生认为MDM是患者护理效率,反射性,一致性,透明度和安全性的关键.
- MDMs作为边界空间的功能,专业人员进行协作边界工作,增强关系代理.
- 多媒体管理机构内的做法可以建立"门机制",优先考虑特定的知识和专业知识,从而重新配置权力动态和塑造护理制度.
结论:
- 癌症管理师被认为是癌症护理的最高决策层,促进合作和加强代理.
- 虽然MDM中的边界工作是有益的,但可以无意中创建影响专业身份和权力结构的排他性空间.
- 这些动态共同塑造了治疗和护理制度,突出了需要意识到包容性和合作决策中的潜在偏见的需要.
相关概念视频
01:30Ethical Dilemmas II
885
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
885
01:18Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
01:15Methods of Documentation VI: Case Management Model
557
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
557
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
01:20Decision Making
75
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...
75
01:21Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K