Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature
TLDR
The aim of the literature review is to synthesize current scientific and clinical understanding on cancer MDTs and their organization to provide an up-to-date summary of the current knowledge that those planning or leading cancer services can use as a guide for service implementation or improvement.Abstract:
In many health care systems globally, cancer care is driven by multidisciplinary cancer teams (MDTs). A large number of studies in the past few years and across different literature have been performed to better understand how these teams work and how they manage patient care. The aim of our literature review is to synthesize current scientific and clinical understanding on cancer MDTs and their organization; this, in turn, should provide an up-to-date summary of the current knowledge that those planning or leading cancer services can use as a guide for service implementation or improvement. We describe the characteristics of an effective MDT and factors that influence how these teams work. A range of factors pertaining to teamwork, availability of patient information, leadership, team and meeting management, and workload can affect how well MDTs are implemented within patient care. We also review how to assess and improve these teams. We present a range of instruments designed to be used with cancer MDTs - including observational tools, self-assessments, and checklists. We conclude with a practical outline of what appears to be the best practices to implement (Dos) and practices to avoid (Don'ts) when setting up MDT-driven cancer care.read more
Citations
More filters
Journal ArticleDOI
The Multidisciplinary Team (MDT) Approach and Quality of Care.
Miren Taberna,Francisco Gil Moncayo,Enric Jané-Salas,M. Antonio,Lorena Arribas,Esther Vilajosana,Elisabet Peralvez Torres,Ricard Mesia +7 more
TL;DR: The aim of this comprehensive review is to assess the role of the different supportive disciplines integrated in an MDT and how they help providing a better care to HNC patients during diagnosis, treatment and follow up.
Journal ArticleDOI
Understanding and improving multidisciplinary team working in geriatric medicine
Graham Ellis,Nick Sevdalis +1 more
TL;DR: A perspective from behavioural safety science, which has been studying team-working in healthcare for the last 20 years, is offered and practical suggestions are made on how to integrate evidence and best practice into modern geriatric medicine-to address current and future challenges are offered.
Journal ArticleDOI
The Impact of the COVID-19 Pandemic on Genitourinary Cancer Care: Re-envisioning the Future.
Christopher J.D. Wallis,James W.F. Catto,Antonio Finelli,Adam Glaser,John L. Gore,Stacy Loeb,Todd M. Morgan,Alicia K. Morgans,Nicolas Mottet,Richard D Neal,Tim O'Brien,Anobel Y. Odisho,Thomas Powles,Ted A. Skolarus,Ted A. Skolarus,Angela B. Smith,Bernadett Szabados,Zachary Klaassen,Daniel E. Spratt +18 more
TL;DR: An evidence-informed, expert-derived review of genitourinary cancer care moving forward following the initial COVID-19 pandemic to raise concerns that physicians and health administrators must consider in order to ensure equitable access to care.
Journal ArticleDOI
Improving the effectiveness of cancer multidisciplinary team meetings: analysis of a national survey of MDT members’ opinions about streamlining patient discussions
TL;DR: This work complements previous analyses in supporting the development of tumour-specific guidance for streamlining MDM discussions considering a range of approaches and indicates that the majority of participants agreed that streamlining discussions may be beneficial although variable interpretations of ‘streamlining’ were apparent.
References
More filters
Journal ArticleDOI
Measuring climate for work group innovation: development and validation of the team climate inventory
Neil Anderson,Michael West +1 more
TL;DR: The Team Climate Inventory (TCI) as mentioned in this paper is a multi-dimensional measure of facet-specific climate for innovation within groups at work, which measures the level of the proximal work group.
Journal ArticleDOI
Association Between Implementation of a Medical Team Training Program and Surgical Mortality
Julia Neily,Peter D. Mills,Peter D. Mills,Yinong Young-Xu,Yinong Young-Xu,Brian T. Carney,Priscilla West,David H. Berger,Lisa Mazzia,Douglas E. Paull,James P. Bagian +10 more
TL;DR: Participation in the VHA Medical Team Training program was associated with lower surgical mortality and a dose-response relationship for additional quarters of the training program was demonstrated.
BookDOI
Conversation analysis. Studies from the first generation.
TL;DR: This chapter discusses the organization of speaker turn-taking in conversation and the amplitude shift mechanism in conversational closing sequences.