Salonen Johanna, Nurmi Hanna, Hodgson Ulla, Hasala Hannele, Kilpeläinen Maritta, Hollmen Maria, Purokivi Minna, Kaarteenaho Riitta
Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland.
Center of Internal and Respiratory Medicine and Medical Research Center (MRC) Oulu, Oulu University Hospital, Oulu, Finland.
Eur Clin Respir J. 2023 Mar 17;10(1):2190210. doi: 10.1080/20018525.2023.2190210. eCollection 2023.
Multidisciplinary meeting (MDM) is a core element in the diagnosis of interstitial lung diseases (ILD). The aim of the study was to investigate the implementation and key elements related to ILD MDMs in Finnish specialized care, which is characterized by long travel distances and a large number of small centers treating patients suffering from ILDs. An electronic questionnaire was sent to ILD experts working at five academic centers of Finland regarding the implementation of ILD MDMs with the focus on utilization of virtual communication. Responses were received from all academic centers of Finland ( = 5) whose catchment areas cover all of Finland. ILD MDMs were organized in each center approximately every two weeks and the core participants included a radiologist, respiratory physicians, junior staff, pathologist and a rheumatologist. All non-academic centers could refer their patients to be evaluated in ILD MDM of an academic center. Virtual communication was utilized by all academic centers in the implementation of ILD MDMs, being most common among small centers located in Eastern and Northern Finland. Virtual access to ILD MDM of an academic center was available in most parts of Finland, enabling small centers to benefit from the ILD expertise of academic centers.
多学科会议(MDM)是间质性肺疾病(ILD)诊断的核心要素。本研究的目的是调查芬兰专科护理中ILD MDM的实施情况及相关关键要素,芬兰专科护理的特点是行程距离长,且有大量小型中心治疗ILD患者。向芬兰五个学术中心的ILD专家发送了一份电子问卷,内容涉及ILD MDM的实施情况,重点是虚拟通信的使用。芬兰所有学术中心(n = 5)均回复了问卷,其服务区域覆盖整个芬兰。每个中心大约每两周组织一次ILD MDM,核心参与者包括一名放射科医生、呼吸内科医生、初级工作人员、病理科医生和一名风湿病学家。所有非学术中心都可将其患者转诊至学术中心的ILD MDM进行评估。所有学术中心在实施ILD MDM时都使用了虚拟通信,在芬兰东部和北部的小型中心最为常见。芬兰大部分地区都可通过虚拟方式接入学术中心的ILD MDM,使小型中心能够受益于学术中心的ILD专业知识。