Department of Surgery and Cancer, Imperial College London, 5th Floor Medical School Building, St. Mary's Hospital, London, W2 1PG, UK.
World J Surg. 2011 Sep;35(9):1970-6. doi: 10.1007/s00268-011-1152-1.
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.
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.
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.
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.
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。
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。
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。
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。