Facilitators and barriers to conducting an efficient, competent and high-quality oncological multidisciplinary team meeting

BMJ Open Quality

article

Janneke E W Walraven¹  Rob H A Verhoeven²  Renske van der Meulen¹  Jacobus J M van der Hoeven¹  Valery E P P Lemmens²  Gijs Hesselink⁴  Ingrid M E Desar¹ 

[1] Department of Medical Oncology;Department of Research & Development;Department of Medical Oncology , University of Amsterdam;Department of Intensive Care;Department of IQ healthcare , Radboud Institute for Health Sciences

关键词: Clinical Decision-Making;    Communication;    Qualitative research;    Teamwork;    Medical education;   

DOI  :  10.1136/bmjoq-2022-002130

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Background Optimal oncological care nowadays requires discussing every patient in a multidisciplinary team meeting (MDTM). The number of patients to be discussed is rising rapidly due to the increasing incidence and prevalence of cancer and the emergence of new multidisciplinary treatment options. This puts MDTMs under considerable time pressure. The aim of this study is therefore to identify the facilitators and barriers with regard to performing an efficient, competent and high-quality MDTM.Methods Semistructured interviews were conducted with Dutch medical specialists and residents participating in oncological MDTMs. Purposive sampling was used to maximise variation in participants’ professional and demographic characteristics (eg, sex, medical specialist vs resident, specialty, type and location of affiliated hospital). Interview data were systematically analysed according to the principles of thematic content analysis.Results Sixteen medical specialists and 19 residents were interviewed. All interviewees agreed that attending and preparing MDTMs is time-consuming and indicated the need for optimal execution in order to ensure that MDTMs remain feasible in the near future. Four themes emerged that are relevant to achieving an optimal MDTM: (1) organisational aspects; (2) participants’ responsibilities and requirements; (3) competences, behaviour and team dynamics and (4) meeting content. Good organisation, a sound structure and functioning information and communication technology facilitate high-quality MDTMs. Multidisciplinary collaboration and adequate communication are essential competences for participants; a lack thereof and the existence of a hierarchy are hindering factors.Conclusion Conducting an efficient, competent and high-quality oncological MDTM is facilitated and hindered by many factors. Being aware of these factors provides opportunities for optimising MDTMs, which are under pressure due to the increase in the number of patients to discuss.

【 授权许可】

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