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希腊国家卫生系统中有效多学科团队会议的设计:意见、障碍与实施

Designing Effective Multidisciplinary Team Meetings in the Greek National Health System: Opinions, Obstacles, and Implementation.

作者信息

Papadopoulou Iliana, Benetatos Nikolaos, Kitsou Konstantina Soultana, Latsou Dimitra, Saridi Maria, Toska Aikaterini

机构信息

Department of Surgery, General University Hospital of Patras, Patras, GRC.

Department of Public Administration, University of Neapolis, Paphos, CYP.

出版信息

Cureus. 2025 Mar 13;17(3):e80550. doi: 10.7759/cureus.80550. eCollection 2025 Mar.

DOI:10.7759/cureus.80550
PMID:40225528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11993848/
Abstract

INTRODUCTION

The implementation and accessibility of multidisciplinary team meetings (MDTMs), which ensure equal opportunities for health professionals to participate, are fundamental to the functioning of any national health system.

AIM

This study aims to describe the main characteristics of MDTMs and assess the opinions and experiences of healthcare professionals who participated in these meetings.

MATERIALS AND METHODS

We conducted a cross-sectional study of health professionals who participated in MDTMs at tertiary referral health centers within the Greek national health system. We employed a simple random sampling methodology, and the questionnaires were completed automatically. The survey was conducted from February to April 2022.

RESULTS

Ninety-eight questionnaires were distributed, and 72 complete responses were returned (response rate: 73.5%). The mean age of respondents was 47.2 ± 7.4 years. Sixty-five participants (90.3%) were specialized doctors, and thirty-nine (54.17%) stated that the time allocated for MDTM sessions was insufficient. Meanwhile, the majority agreed that MDTMs improved patient treatment allocation (n=59, 82%), were beneficial for healthcare professionals' education (n=60, 83.4%), and enhanced the practical and educational skills of medical interns (n=57, 79.2%). Regarding case discussions in MDTMs, participants agreed that comorbidities (n=67, 93.1%), social-psychological factors (n=59, 82%), and patients' preferences (n=62, 86.1%) should always be considered during meetings. The primary challenges in achieving a complete therapeutic plan were identified as inadequate teamwork (n=11, 15.3%), complexity of referred cases (n=9, 12.5%), and time constraints (n=9, 12.5%).

CONCLUSIONS

Weaknesses in the healthcare system have emerged, necessitating action to address areas requiring improvement. Differences in the conceptual framework of MDTM functionality, particularly regarding specialists' specific roles and responsibilities, have been observed. Since the Greek national health system lacks specific protocols for the universal implementation of MDTMs, this study underscores the need for structured MDTM protocols in Greece to enhance healthcare professionals' participation and optimize patient care.

摘要

引言

多学科团队会议(MDTMs)的实施和可及性确保了卫生专业人员有平等的参与机会,这对于任何国家卫生系统的运作至关重要。

目的

本研究旨在描述多学科团队会议的主要特征,并评估参与这些会议的医疗保健专业人员的意见和经验。

材料与方法

我们对希腊国家卫生系统内三级转诊医疗中心参与多学科团队会议的卫生专业人员进行了横断面研究。我们采用简单随机抽样方法,问卷自动完成。调查于2022年2月至4月进行。

结果

共发放98份问卷,回收72份完整回复(回复率:73.5%)。受访者的平均年龄为47.2±7.4岁。65名参与者(90.3%)为专科医生,39名(54.17%)表示多学科团队会议的时间分配不足。同时,大多数人认为多学科团队会议改善了患者治疗分配(n=59,82%),有利于医疗保健专业人员的教育(n=60,83.4%),并提高了医学实习生的实践和教育技能(n=57,79.2%)。关于多学科团队会议中的病例讨论,参与者一致认为在会议期间应始终考虑合并症(n=67,93.1%)、社会心理因素(n=59,82%)和患者偏好(n=62,86.1%)。实现完整治疗计划的主要挑战被确定为团队合作不足(n=11,15.3%)、转诊病例复杂(n=9,12.5%)和时间限制(n=9,12.5%)。

结论

医疗系统中已出现薄弱环节,需要采取行动解决需要改进的领域。已观察到多学科团队会议功能概念框架的差异,特别是在专家的具体角色和职责方面。由于希腊国家卫生系统缺乏普遍实施多学科团队会议的具体方案,本研究强调希腊需要结构化的多学科团队会议方案,以提高医疗保健专业人员的参与度并优化患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f56e/11993848/d54b776ab951/cureus-0017-00000080550-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f56e/11993848/25e57b381080/cureus-0017-00000080550-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f56e/11993848/d54b776ab951/cureus-0017-00000080550-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f56e/11993848/25e57b381080/cureus-0017-00000080550-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f56e/11993848/d54b776ab951/cureus-0017-00000080550-i02.jpg

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