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多学科癌症会议中的团队合作和团队决策:障碍、促进因素和改进机会。

Teamwork and team decision-making at multidisciplinary cancer conferences: barriers, facilitators, and opportunities for improvement.

机构信息

Department of Surgery and Cancer, Imperial College London, 5th Floor Medical School Building, St. Mary's Hospital, London, W2 1PG, UK.

出版信息

World J Surg. 2011 Sep;35(9):1970-6. doi: 10.1007/s00268-011-1152-1.

DOI:10.1007/s00268-011-1152-1
PMID:21604049
Abstract

BACKGROUND

Anecdotally, multidisciplinary cancer conferences (MCCs) do not always function optimally. MCC members' experiences with and attitudes toward MCCs are explored, and barriers to and facilitators of effective team-working are identified.

METHODS

A total of 19 semistructured interviews were conducted with surgeons, oncologists, nurses, and administrators. Interviews explored participants' opinions on MCC attendance, information presentation, case discussion, leadership, team decision-making, and possible improvements to MCC meetings.

RESULTS

Nonattendance was associated with not having protected time to attend the MCC. Contributions to MCC discussions were unequal among the participants, and patient-centered information was ignored. Good leadership was necessary to foster inclusive case discussion. Members were positive about MCCs, but protected time, improved case selection, and working in a more structured way were possible improvements.

CONCLUSIONS

Results are consistent with previous research: Members of the MCC are positive about the benefits of MCCs, although improving the way MCCs work is a goal.

摘要

背景

据传闻,多学科癌症会议(MCC)并不总是能发挥最佳效果。本研究旨在探讨 MCC 成员的参会体验和态度,以及识别影响团队有效合作的障碍和促进因素。

方法

共对 19 名外科医生、肿瘤学家、护士和管理人员进行了半结构化访谈。访谈内容涉及与会者对 MCC 参与、信息呈现、病例讨论、领导能力、团队决策以及 MCC 会议可能的改进的看法。

结果

未参会与没有参加 MCC 的时间保障有关。参与者之间的病例讨论贡献并不均等,且忽略了以患者为中心的信息。良好的领导力对于促进包容性的病例讨论至关重要。尽管成员们对 MCC 持积极态度,但他们希望能有更多的时间保障、改善病例选择以及以更结构化的方式开展工作。

结论

研究结果与以往的研究一致:MCC 成员对 MCC 的益处持积极态度,但改善 MCC 的工作方式是他们的目标。

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