Rankin Nicole M, Fradgley Elizabeth A, Barnes David J
Faculty of Medicine and Health Sciences, University of Sydney, Camperdown, New South Wales, Australia.
University of Newcastle Priority Research Centre for Cancer Research, Innovation and Translation, Callaghan, New South Wales, Australia.
Transl Lung Cancer Res. 2020 Aug;9(4):1667-1679. doi: 10.21037/tlcr.2019.11.32.
Multidisciplinary care (MDC) is considered best practice in lung cancer care. Health care services have made significant investments in MDC through the establishment of multidisciplinary team (MDT) meetings. This investment is likely to be sustained in future. It is imperative that MDT meetings are efficient, effective, and sufficiently nimble to introduce new innovations to enable best practice. In this article, we consider the 'evidence-practice gaps' in the implementation of lung cancer MDC. These gaps were derived from the recurrent limitations outlined in existing studies and reviews. We address the contributions that implementation science and quality improvement can make to bridge these gaps by increasing translation and improving the uptake of innovations by teams.
多学科护理(MDC)被认为是肺癌护理的最佳实践。医疗保健服务机构通过设立多学科团队(MDT)会议,在多学科护理方面投入了大量资金。未来这种投入可能会持续。多学科团队会议必须高效、有效且足够灵活,以便引入新的创新措施,实现最佳实践。在本文中,我们探讨了肺癌多学科护理实施过程中的“证据 - 实践差距”。这些差距源自现有研究和综述中反复提及的局限性。我们阐述了实施科学和质量改进可通过提高转化以及促进团队对创新措施的采用,为弥合这些差距做出的贡献。