Borgstrom Erica, Cohn Simon, Driessen Annelieke, Martin Jonathan, Yardley Sarah
School of Health, Wellbeing and Social Care, The Open University, Milton Keynes, Buckinghamshire, UK
Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, London, UK.
BMJ Support Palliat Care. 2021 Sep 30. doi: 10.1136/bmjspcare-2021-003267.
Multidisciplinary team meetings are a regular feature in the provision of palliative care, involving a range of professionals. Yet, their purpose and best format are not necessarily well understood or documented. This article describes how hospital and community-based palliative care multidisciplinary team meetings operate to elucidate some of their main values and offer an opportunity to share examples of good practice.
Ethnographic observations of over 70 multidisciplinary team meetings between May 2018 and January 2020 in hospital and community palliative care settings in intercity London. These observations were part of a larger study examining palliative care processes. Fieldnotes were thematically analysed.
This article analyses how the meetings operated in terms of their setup, participants and general order of business. Meetings provided a space where patients, families and professionals could be cared for through regular discussions of service provision.
Meetings served a variety of functions. Alongside discussing the more technical, clinical and practical aspects that are formally recognised aspects of the meetings, an additional core value was enabling affectual aspects of dealing with people who are dying to be acknowledged and processed collectively. Insight into how the meetings are structured and operate offer input for future practice.
多学科团队会议是姑息治疗服务中的一项常规活动，涉及一系列专业人员。然而，其目的和最佳形式不一定得到充分理解或记录。本文描述了医院和社区姑息治疗多学科团队会议的运作方式，以阐明其一些主要价值，并提供分享良好实践案例的机会。
对2018年5月至2020年1月间在伦敦市医院和社区姑息治疗环境中举行的70多次多学科团队会议进行人种志观察。这些观察是一项关于姑息治疗过程的更大规模研究的一部分。对实地记录进行了主题分析。
本文分析了会议在设置、参与者和一般业务顺序方面的运作方式。会议提供了一个空间，通过定期讨论服务提供情况，患者、家属和专业人员可以得到照顾。
会议发挥了多种功能。除了讨论会议正式认可的更具技术性、临床性和实践性的方面外，另一个核心价值是使处理临终患者的情感方面能够得到集体认可和处理。深入了解会议的组织和运作方式可为未来实践提供参考。
