van Huizen Lidia S, Dijkstra Pieter U, Hemmer Patrick H J, van Etten Boudewijn, Buis Carlijn I, Olsder Linde, van Vilsteren Frederike G I, Ahaus Kees C T B, Roodenburg Jan L N
University of Groningen, University Medical Center Groningen, Department of Oral and Maxillofacial Surgery, Groningen, The Netherlands.
University of Groningen, University Medical Center Groningen, Department of Quality and Patient Safety, Groningen, The Netherlands.
Int J Integr Care. 2021 Feb 25;21(1):8. doi: 10.5334/ijic.5526.
The reorganisation of the structure of a Gastro-Intestinal Oncology Multidisciplinary Team Meeting (GIO-MDTM) in a tertiary centre with three care pathways is evaluated on added value.
In a mixed method investigation, process indicators such as throughput times were analysed and stakeholders were interviewed regarding benefits and drawbacks of the reorganisation and current MDTM functioning.
For the hepatobiliary care pathway, the time to treatment plan increased, but the time to start treatment reduced significantly. The percentage of patients treated within the Dutch standard of 63 days increased for the three care pathways. From the interviews, three themes emerged: added value of MDTMs, focus on planning integrated care and awareness of possible improvements.
The importance of evaluating interventions in oncology care pathways is shown, including detecting unexpected drawbacks. The evaluation provides insight into complex dynamics of the care pathways and contributes with recommendations on functioning of an MDTM.
Throughput times are only partly determined by oncology care pathway management, but have influence on the functioning of MDTMs. Process indicator information can help to reflect on integration of care in the region, resulting in an increase of patients treated within the Dutch standard.
在一个拥有三条护理路径的三级中心，对胃肠肿瘤多学科团队会议（GIO-MDTM）的结构重组进行了附加值评估。
在一项混合方法调查中，分析了诸如周转时间等过程指标，并就重组的利弊以及当前MDTM的运作情况对利益相关者进行了访谈。
对于肝胆护理路径，治疗计划制定时间增加，但开始治疗的时间显著减少。三条护理路径中在荷兰63天标准内接受治疗的患者百分比均有所增加。从访谈中出现了三个主题：MDTM的附加值、对综合护理规划的关注以及对可能改进的认识。
显示了评估肿瘤护理路径干预措施的重要性，包括发现意外的缺点。该评估深入了解了护理路径的复杂动态，并为MDTM的运作提供了建议。
周转时间仅部分由肿瘤护理路径管理决定，但对MDTM的运作有影响。过程指标信息有助于反思该地区护理的整合情况，从而使在荷兰标准内接受治疗的患者数量增加。
