多学科癌症会议：探索其实施的障碍和促进因素。
Multidisciplinary cancer conferences: exploring obstacles and facilitators to their implementation.
机构信息
Departments of Health Policy Management and Evaluation and Surgery, University of Toronto; Departments of Surgical and Radiation Oncology, Sunnybrook Health Sciences Centre; and Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
出版信息
J Oncol Pract. 2010 Mar;6(2):61-8. doi: 10.1200/JOP.091085.
PURPOSE
Multidisciplinary cancer conferences (MCCs) provide an opportunity for health professionals to discuss diagnosis and treatment options to optimize patient management. The purpose of this study was to explore the barriers and facilitators in implementing MCCs in Canada.
METHODS
This exploratory study used qualitative interviews and observation to explore the experiences of implementing MCCs in four hospitals in Ontario, Canada. Interviews were transcribed verbatim and analyzed using standard qualitative research methodology guided by grounded theory principles.
RESULTS
Thirty-seven MCCs for gastrointestinal cancer were observed across three hospital sites, and 48 interviews were conducted among a range of clinical specialists and administrators. The dominant theme suggested that MCCs can most effectively be implemented if administrators and health professionals see value in MCCs, despite the time and effort required. A number of factors (eg, provincial policy, hospital administrative and clinician support, and an efficient MCC process) influenced whether MCCs were valued.
CONCLUSION
Variation exists in the enthusiasm of health professionals and the administrative capacity of institutions regarding routine implementation of MCCs. A systematic implementation plan for MCCs is needed involving both cancer care providers and administrators.
目的
多学科癌症会议（MCC）为卫生专业人员提供了一个讨论诊断和治疗方案的机会，以优化患者管理。本研究旨在探讨在加拿大实施 MCC 的障碍和促进因素。
方法
本探索性研究使用定性访谈和观察来探讨在加拿大安大略省的四家医院实施 MCC 的经验。访谈逐字记录，并使用扎根理论原则指导的标准定性研究方法进行分析。
结果
在三个医院现场观察了 37 次胃肠道癌症 MCC，对一系列临床专家和管理人员进行了 48 次访谈。主要主题表明，如果管理人员和卫生专业人员认为 MCC 有价值，尽管需要时间和精力，MCC 就能最有效地实施。一些因素（例如省级政策、医院行政和临床医生的支持以及高效的 MCC 流程）影响了 MCC 是否有价值。
结论
卫生专业人员的积极性和机构的行政能力在常规实施 MCC 方面存在差异。需要制定一个涉及癌症护理提供者和管理人员的 MCC 系统实施计划。
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