克服建立肝胆疾病多学科团队方法的障碍：加勒比地区的工作模式。
Overcoming obstacles to establish a multidisciplinary team approach to hepatobiliary diseases: a working model in a Caribbean setting.
机构信息
Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago.
Faculty of Medical Sciences, University of the West Indies, Mona Campus, Kingston, Jamaica.
出版信息
J Multidiscip Healthc. 2014 May 28;7:227-30. doi: 10.2147/JMDH.S60604. eCollection 2014.
Abstract
INTRODUCTION
By providing a structured forum to exchange information and ideas, multidisciplinary team meetings improve working relationships, expedite investigations, promote evidence-based treatment, and ultimately improve clinical outcomes.
METHODS
This discursive paper reports the introduction of a multidisciplinary team approach to manage hepatobiliary diseases in Jamaica, focusing on the challenges encountered and the methods used to overcome these obstacles.
CONCLUSION
Despite multiple challenges in resource-limited environments, a multidisciplinary team approach can be incorporated into clinical practice in developing nations. Policy makers should make it a priority to support clinical, operational, and governance aspects of the multidisciplinary teams.
摘要
简介
通过提供一个结构化的论坛来交流信息和想法，多学科团队会议可以改善工作关系，加快调查，促进循证治疗，并最终改善临床结果。
方法
本文是一篇论述性论文，介绍了在牙买加采用多学科团队方法来管理肝胆疾病，重点介绍了所遇到的挑战以及克服这些障碍的方法。
结论
尽管在资源有限的环境下存在多种挑战，但多学科团队方法可以纳入发展中国家的临床实践中。政策制定者应优先支持多学科团队的临床、运营和治理方面。
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本文引用的文献
1
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Perm J. 2013 Summer;17(3):e121-5. doi: 10.7812/TPP/12-117.
2
Infection control practice in the operating room: staff adherence to existing policies in a developing country.手术室感染控制实践：发展中国家工作人员对现有政策的遵守情况。
Perm J. 2013 Summer;17(3):e114-8. doi: 10.7812/TPP/12-093.
3
Epidemiology of diabetic foot infections in an eastern Caribbean population: a prospective study.东加勒比地区人群糖尿病足感染的流行病学：一项前瞻性研究。
Perm J. 2013 Spring;17(2):37-40. doi: 10.7812/TPP/12-126.
4
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Clin Radiol. 2013 Aug;68(8):823-7. doi: 10.1016/j.crad.2013.03.020. Epub 2013 May 16.
5
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