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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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Title: Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature
Authors: Soukup, T
Lamb, BW
Arora, S
Darzi, A
Sevdalis, N
Green, JSA
Item Type: Journal Article
Abstract: 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.
Issue Date: 19-Jan-2018
Date of Acceptance: 3-Oct-2017
URI: http://hdl.handle.net/10044/1/58022
DOI: https://dx.doi.org/10.2147/JMDH.S117945
ISSN: 1178-2390
Publisher: Dove Medical Press
Start Page: 49
End Page: 61
Journal / Book Title: Journal of Multidisciplinary Healthcare
Volume: 11
Copyright Statement: © 2018 Soukup et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
Sponsor/Funder: Imperial College Healthcare NHS Trust
National Institute for Health Research (NIHR)
National Institute for Health Research
Funder's Grant Number: RDPSC 79560
RDPSC 79560
n/a
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
cancer MDT
MDM
cancer meeting
patients with cancer
CLINICAL DECISION-MAKING
LUNG-CANCER
OPERATING-THEATER
MEETINGS
MANAGEMENT
ONCOLOGY
FACILITATORS
IMPROVEMENT
VALIDATION
BARRIERS
11 Medical And Health Sciences
Publication Status: Published
Appears in Collections:Division of Surgery
Faculty of Medicine



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