多学科护理团队的组织：对癌症护理质量的内部和外部影响建模
The organization of multidisciplinary care teams: modeling internal and external influences on cancer care quality.
作者信息
Fennell Mary L, Das Irene Prabhu, Clauser Steven, Petrelli Nicholas, Salner Andrew
机构信息
Department of Sociology, Brown University, Box 1916, Providence, RI 02912, USA.
出版信息
J Natl Cancer Inst Monogr. 2010;2010(40):72-80. doi: 10.1093/jncimonographs/lgq010.
Quality cancer treatment depends upon careful coordination between multiple treatments and treatment providers, the exchange of technical information, and regular communication between all providers and physician disciplines involved in treatment. This article will examine a particular type of organizational structure purported to regularize and streamline the communication between multiple specialists and support services involved in cancer treatment: the multidisciplinary treatment care (MDC) team. We present a targeted review of what is known about various types of MDC team structures and their impact on the quality of treatment care, and we outline a conceptual model of the connections between team context, structure, process, and performance and their subsequent effects on cancer treatment care processes and patient outcomes. Finally, we will discuss future research directions to understand how MDC teams improve patient outcomes and how characteristics of team structure, culture, leadership, and context (organizational setting and local environment) contribute to optimal multidisciplinary cancer care.
优质的癌症治疗取决于多种治疗方法与治疗提供者之间的精心协调、技术信息的交流，以及参与治疗的所有提供者和医生学科之间的定期沟通。本文将探讨一种特定类型的组织结构，该结构旨在规范和简化参与癌症治疗的多个专科医生和支持服务之间的沟通：多学科治疗护理（MDC）团队。我们针对已知的各类MDC团队结构及其对治疗护理质量的影响进行了有针对性的综述，并概述了团队背景、结构、流程和绩效之间的联系及其对癌症治疗护理流程和患者预后的后续影响的概念模型。最后，我们将讨论未来的研究方向，以了解MDC团队如何改善患者预后，以及团队结构、文化、领导力和背景（组织环境和当地环境）的特征如何有助于实现最佳的多学科癌症护理。
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