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经验教训和成功关键:COVID-19 时代虚拟肿瘤委员会实施期间提供者的体验。

Lessons learned and keys to success: Provider experiences during the implementation of virtual oncology tumor boards in the era of COVID-19.

机构信息

Department of General Surgery, Cleveland Clinic, Cleveland, Ohio, USA.

出版信息

J Surg Oncol. 2022 Mar;125(4):570-576. doi: 10.1002/jso.26784. Epub 2022 Jan 7.

Abstract

BACKGROUND AND OBJECTIVES

The COVID-19 pandemic required rapid adaptation of multidisciplinary tumor board conferences to a virtual setting; however, there are little data describing the benefits and challenges of using such a platform.

METHODS

An anonymous quality improvement survey was sent to participants of tumor board meetings at a large academic institution. Participants answered questions pertaining to the relative strengths and weaknesses of in-person and virtual settings.

RESULTS

A total of 335 responses (23.3% response rate) were recorded, and 253 met inclusion criteria. Respondents represented 25 different tumor board meetings, with colorectal, breast, and liver (18.6%, 17.0%, and 13.0%, respectively) being the most commonly attended. Virtual tumor boards were equivalent to in-person across 9 of 10 domains queried, while a virtual format was preferred for participation in off-site tumor boards. The lack of networking opportunities was ranked by physicians to be a significant challenge of the virtual format. Consistent leadership and organization, engaged participation of all attendees, and upgrading technology infrastructure were considered critical for success of virtual meetings.

CONCLUSIONS

The implementation of virtual tumor board meetings has been associated with numerous challenges. However, improving several key aspects can improve participant satisfaction and ensure excellent patient care.

摘要

背景与目的

COVID-19 大流行要求多学科肿瘤委员会会议迅速适应虚拟环境;然而,很少有数据描述使用此类平台的优势和挑战。

方法

向一家大型学术机构的肿瘤委员会会议参与者发送了匿名质量改进调查。参与者回答了与面对面和虚拟环境的相对优势和劣势相关的问题。

结果

共记录了 335 份回复(23.3%的回复率),其中 253 份符合纳入标准。受访者代表 25 个不同的肿瘤委员会会议,其中最常参加的是结直肠、乳腺和肝脏肿瘤委员会(分别为 18.6%、17.0%和 13.0%)。在调查的 10 个领域中,有 9 个虚拟肿瘤委员会与面对面的肿瘤委员会相当,而虚拟形式更适合参加场外肿瘤委员会。医生认为缺乏网络机会是虚拟模式的一个重大挑战。一致的领导力和组织、所有与会者的积极参与以及升级技术基础设施被认为是虚拟会议成功的关键。

结论

虚拟肿瘤委员会会议的实施带来了许多挑战。然而,改善几个关键方面可以提高参与者的满意度并确保为患者提供卓越的护理。

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