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甲状腺癌专科医生的专业素养特征及多学科团队的优势:一项全国性意见调查结果

Characteristics of professionalism of specialists and advantages of multidisciplinary teams in thyroid cancer: results of a national opinion survey.

作者信息

Díez Juan J, Galofré Juan Carlos, Oleaga Amelia, Grande Enrique, Mitjavila Mercedes, Moreno Pablo

机构信息

Servicio de Endocrinología y Nutrición, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España; Servicio de Endocrinología y Nutrición, Hospital Universitario Ramón y Cajal, Madrid, España.

Servicio de Endocrinología, Clínica Universidad de Navarra, Pamplona, España.

出版信息

Endocrinol Diabetes Nutr (Engl Ed). 2019 Feb;66(2):74-82. doi: 10.1016/j.endinu.2018.10.009. Epub 2019 Jan 3.

Abstract

INTRODUCTION

The opinion of professionals about multidisciplinary teams (MDT) in thyroid cancer has not been studied in Spain. This study was intended to ascertain the opinion of specialists about the characteristics of the professionals and the advantages provided by these teams.

METHODS

A survey was designed to assess the opinion about the characteristics of professionalism and the advantages of MDT for patients, professionals, and the health care system. The survey was posted online from November 15, 2017 to February 15, 2018.

RESULTS

A total of 226 surveys were evaluated. The ability for teamwork was considered the most important characteristic to be met by professionals by 37.2% of respondents, while scientific competence was the most important indicator of professionalism for 37.6%. More than two thirds of specialists felt that MDTs improve the choice of treatments and diagnostic procedures, decrease clinical variability, facilitate implementation of clinical guidelines, improve ongoing training, and increase patient satisfaction and hospital prestige. The degree of agreement with the advantages of MDTs was significantly higher among specialists who had a MDT at their hospitals.

CONCLUSIONS

The overall opinion of professionals on the MDT model is highly favorable. Hospital managers and health care authorities should take these facts into account in order to encourage and support implementation of these teams.

摘要

引言

在西班牙,尚未对专业人士关于甲状腺癌多学科团队(MDT)的看法进行研究。本研究旨在确定专家们对这些团队中专业人员的特征以及所带来优势的看法。

方法

设计了一项调查,以评估对专业素养特征以及多学科团队对患者、专业人员和医疗保健系统的优势的看法。该调查于2017年11月15日至2018年2月15日在线发布。

结果

共评估了226份调查问卷。37.2%的受访者认为团队协作能力是专业人员应具备的最重要特征,而37.6%的受访者认为科学能力是专业素养的最重要指标。超过三分之二的专家认为多学科团队改善了治疗和诊断程序的选择,减少了临床变异性,促进了临床指南的实施,改善了在职培训,并提高了患者满意度和医院声誉。在其所在医院设有多学科团队的专家中,对多学科团队优势的认同程度明显更高。

结论

专业人员对多学科团队模式的总体看法非常积极。医院管理人员和医疗保健当局应考虑这些事实,以鼓励和支持这些团队的实施。

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