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肿瘤学中基于医院的多学科团队会议经验:对参与其中的全科医生的一项访谈研究

Experiences of hospital-based multidisciplinary team meetings in oncology: An interview study among participating general practitioners.

作者信息

Pype Peter, Mertens Fien, Belche Jeanluc, Duchesnes Christiane, Kohn Laurence, Sercu Marij, Deveugele Myriam

机构信息

a Department of Family Medicine and Primary Healthcare , Ghent University , Ghent , Belgium.

b Département Universitaire de Médecine Générale, Faculté de Médecine , Université de Liège , Liege , Belgium.

出版信息

Eur J Gen Pract. 2017 Dec;23(1):155-163. doi: 10.1080/13814788.2017.1323081.

Abstract

BACKGROUND

Cancer care has become complex, requiring healthcare professionals to collaborate to provide high-quality care. Multidisciplinary oncological team (MDT) meetings in the hospital have been implemented to coordinate individual cancer patients' care. General practitioners (GPs) are invited to join, but their participation is minimal.

OBJECTIVES

Aim of this study is to explore participating GPs' perceptions of their current role and to understand their preferences towards effective role execution during MDT meetings.

METHODS

In May to June 2014, semi-structured interviews (n = 16) were conducted involving GPs with MDT experience in Belgium. The analysis was done according to qualitative content analysis principles.

RESULTS

Attendance of an MDT meeting is perceived as part of the GP's work, especially for complex patient care situations. Interprofessional collaborative relationships and the GP's perceived benefit to the MDT meeting discussions are important motivators to participate. Enhanced continuity of information flow and optimized organizational time management were practical aspects triggering the GP's intention to participate. GPs valued the communication with the patient before and after the meeting as an integral part of the MDT dynamics.

CONCLUSION

GPs perceive attendance of the MDT meeting as an integral part of their job. Suggestions are made to enhance the efficiency of the meetings.

摘要

背景

癌症护理已变得复杂,需要医护专业人员协作以提供高质量护理。医院已开展多学科肿瘤团队(MDT)会议来协调个体癌症患者的护理。全科医生(GPs)受邀参加,但他们的参与度很低。

目的

本研究旨在探讨参与的全科医生对其当前角色的看法,并了解他们在MDT会议期间对有效履行角色的偏好。

方法

2014年5月至6月,对比利时有MDT经验的全科医生进行了半结构化访谈(n = 16)。分析是根据定性内容分析原则进行的。

结果

参加MDT会议被视为全科医生工作的一部分,特别是对于复杂的患者护理情况。跨专业协作关系以及全科医生认为对MDT会议讨论有益是参与的重要动力。增强信息流的连续性和优化组织时间管理是促使全科医生参与的实际因素。全科医生重视会议前后与患者的沟通,将其视为MDT动态的一个组成部分。

结论

全科医生将参加MDT会议视为其工作不可或缺的一部分。提出了提高会议效率的建议。

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