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头颈肿瘤多学科协作组的区域化:合作医师的观点

Regionalization of Head and Neck Oncology Tumor Boards: Perspectives of Collaborating Physicians.

作者信息

Amin Neha B, Bridgham Kelly M, Brown Jessica P, Moyer Kelly F, Taylor Rodney J, Wolf Jeffrey S, Witek Matthew E, Molitoris Jason K, Mehra Ranee, Cullen Kevin J, Papadimitriou John C, Raghavan Prashant, Hatten Kyle M

机构信息

University of Maryland School of Medicine Baltimore Maryland USA.

Department of Epidemiology and Public Health University of Maryland School of Medicine Baltimore Maryland USA.

出版信息

OTO Open. 2023 Feb 28;7(1):e18. doi: 10.1002/oto2.18. eCollection 2023 Jan-Mar.

Abstract

OBJECTIVES

To survey academic and community physician preferences regarding the virtual multidisciplinary tumor board (MTB) for further improvement and expansion.

STUDY DESIGN

This anonymous 14-question survey was sent to individuals that participated in the head and neck virtual MTBs. The survey was sent via email beginning August 3, 2021, through October 5, 2021.

SETTING

The University of Maryland Medical Center and regional practices in the state of Maryland.

METHODS

Survey responses were recorded and presented as percentages. Subset analysis was performed to obtain frequency distributions by facility and provider type.

RESULTS

There were 50 survey responses obtained with a response rate of 56%. Survey participants included 11 surgeons (22%), 19 radiation oncologists (38%), and 8 medical oncologists (16%), amongst others. More than 96% of participants found the virtual MTB to be useful when discussing complex cases and impactful to future patient care. A majority of respondents perceived a reduction in time to adjuvant care (64%). Community and academic physician responses strongly agreed that the virtual MTB improved communication (82% vs 73%), provided patient-specific information for cancer care (82% vs 73%), and improved access to other specialties (66% vs 64%). Academic physicians, more so than community physicians, strongly agreed that the virtual MTB improves access to clinical trial enrollment (64% vs 29%) and can be useful in obtaining CME (64% vs 55%).

CONCLUSION

Academic and community physicians view the virtual MTB favorably. This platform can be adapted regionally and further expanded to improve communication between physicians and improve multidisciplinary care for patients.

摘要

目的

调查学术型和社区型医生对虚拟多学科肿瘤委员会(MTB)的偏好,以便进一步改进和扩展。

研究设计

这项包含14个问题的匿名调查问卷被发送给参与头颈虚拟MTB的人员。该调查于2021年8月3日至2021年10月5日通过电子邮件发送。

地点

马里兰大学医学中心以及马里兰州的地区医疗机构。

方法

记录调查问卷的回复并以百分比形式呈现。进行子集分析以按机构和提供者类型获得频率分布。

结果

共获得50份调查问卷回复,回复率为56%。调查参与者包括11名外科医生(22%)、19名放射肿瘤学家(38%)和8名医学肿瘤学家(16%)等。超过96%的参与者认为虚拟MTB在讨论复杂病例时很有用,并且对未来患者护理有影响。大多数受访者认为辅助治疗时间有所减少(64%)。社区医生和学术型医生的回复都强烈同意虚拟MTB改善了沟通(82%对73%),提供了针对癌症护理的患者特定信息(82%对73%),并改善了获得其他专科服务的机会(66%对64%)。与社区医生相比,学术型医生更强烈地同意虚拟MTB改善了临床试验入组的机会(64%对29%),并且在获得继续医学教育方面很有用(64%对55%)。

结论

学术型和社区型医生对虚拟MTB评价良好。这个平台可以在区域内进行调整并进一步扩展,以改善医生之间的沟通并提高对患者的多学科护理水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31f/10046717/bd62d459073f/OTO2-7-e18-g001.jpg

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