Harvard Medical School, Boston, MA.
Department of Medicine, Division of Hematology/Oncology, Massachusetts General Hospital, Boston, MA.
JCO Oncol Pract. 2021 Sep;17(9):527-533. doi: 10.1200/OP.20.00673. Epub 2021 Jan 22.
The multidisciplinary team is the primary means for delivery of complex cancer care in the United States. Considerable variability exists in how multidisciplinary teams operate across the landscape of oncology, including variation in represented specialties and specifics of the shared medical decision-making process. Here, we describe operations of a multidisciplinary clinic focused on the management of nonmelanoma skin cancer, formed as a joint effort between departments at the Massachusetts General Hospital and Massachusetts Eye and Ear Infirmary. We describe deployment of a flexible Web-based operational tool created on the Research Electronic Data Capture platform to facilitate provider coordination and tracking and visualization of the patient census, offering a new perspective on optimization of the multidisciplinary workflow. To help promote further discussion, we have made the data dictionary for the operational tool and R code for the accompanying data visualization dashboard freely available online for download and customization.
多学科团队是美国提供复杂癌症治疗的主要手段。在肿瘤学领域，多学科团队的运作方式存在很大差异，包括代表专业的差异和共享医疗决策过程的具体差异。在这里，我们描述了一个专注于管理非黑色素瘤皮肤癌的多学科诊所的运作情况，该诊所是马萨诸塞州综合医院和马萨诸塞州眼耳医院部门之间的共同努力。我们描述了在 Research Electronic Data Capture 平台上创建的灵活的基于 Web 的操作工具的部署，以促进提供者的协调和跟踪以及患者普查的可视化，为优化多学科工作流程提供了新的视角。为了帮助促进进一步的讨论，我们已经将操作工具的数据字典和随附的数据可视化仪表板的 R 代码免费在线提供下载和定制。
