Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature.
Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature.
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实施在癌症患者护理中工作的多学科团队的成功策略：可用文献的概述和综合。
DOI：
10.2147/jmdh.s117945
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发表时间：
2018
影响因子：
3.3
通讯作者：
Green JS
中科院分区：
文献类型：
--
作者：
Soukup T;Lamb BW;Arora S;Darzi A;Sevdalis N;Green JS
在全球许多医疗保健系统中，癌症护理由多学科癌症团队（MDT）驱动。在过去的几年里，我们进行了大量的研究，并在不同的文献中进行了大量的研究，以更好地了解这些团队是如何工作的，以及他们如何管理病人护理。我们的文献综述的目的是综合目前的科学和临床的理解癌症MDT及其组织，这反过来，应该提供一个最新的总结，目前的知识，那些规划或领导癌症服务可以使用作为指导服务的实施或改进。我们描述了一个有效的MDT的特点和影响这些团队如何工作的因素。与团队合作、患者信息的可用性、领导力、团队和会议管理以及工作量有关的一系列因素都会影响MDT在患者护理中的实施情况。我们还审查了如何评估和改善这些团队。我们提出了一系列旨在与癌症MDT一起使用的工具-包括观察工具，自我评估和检查表。最后，我们总结了在建立MDT驱动的癌症护理时，应该实施的最佳实践（Dos）和应该避免的实践（Don'ts）。
In many health care systems globally, cancer care is driven by multidisciplinary cancer teams (MDTs). A large number of studies in the past few years and across different literature have been performed to better understand how these teams work and how they manage patient care. The aim of our literature review is to synthesize current scientific and clinical understanding on cancer MDTs and their organization; this, in turn, should provide an up-to-date summary of the current knowledge that those planning or leading cancer services can use as a guide for service implementation or improvement. We describe the characteristics of an effective MDT and factors that influence how these teams work. A range of factors pertaining to teamwork, availability of patient information, leadership, team and meeting management, and workload can affect how well MDTs are implemented within patient care. We also review how to assess and improve these teams. We present a range of instruments designed to be used with cancer MDTs – including observational tools, self-assessments, and checklists. We conclude with a practical outline of what appears to be the best practices to implement (Dos) and practices to avoid (Don’ts) when setting up MDT-driven cancer care.