瘤学多学科团队会议的决策质量:一个结构化的观察研究
1Cancer Therapy Centre, Liverpool Hospital, South Western Sydney Local Health District, NSW, Australia.
概括
澳大利亚癌症护理的多学科会议 (MDM) 显示了高质量的医疗信息,但团队的投入是不同的. 心理社会因素和患者的观点需要更好地整合,以改善决策.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 临床决策 - 临床决策
背景情况:
- 多学科会议 (MDM) 是当代癌症护理的组成部分,提高决策质量.
- 有国际工具来评估MDM的表现,但澳大利亚的具体评估缺乏.
研究的目的:
- 评估澳大利亚瘤多学科会议 (MDM) 决策的质量.
- 通过使用验证的工具来评估信息质量和团队贡献.
主要方法:
- 在澳大利亚西南悉尼的三个癌症中心对14名MDM进行了前性观察研究.
- 两名观察员使用了决策观察指标 (MDT-MODe) 工具在利克特级别上对信息质量和团队行为进行评分.
- 从64名MDM患者收集的数据涉及498名患者.
主要成果:
- 在99%的观察情况中,管理决策是做出的.
- 心理社会因素,并发症和患者的看法不如放射学,病理学和患者病史那么全面地解决.
- 与其他团队成员相比,癌症专家护士的贡献得分较低,团队贡献质量差异很大.
结论:
- 经过验证的工具为MDM决策质量提供了有价值的见解.
- 虽然医疗信息质量是一致的,但团队的贡献有所不同,需要更好地考虑心理社会方面,并发病症和患者偏好.
- 结果支持有针对性的反和干预措施,以提高澳大利亚癌症护理中MDM决策质量.
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