目的:多学科护理(MDC)会议通过提供跨学科交流的空间来提高癌症护理的质量。儿科肿瘤学机构综合本地评估(PrOFILE)工具评估MDC会议,作为服务集成模块的一部分。我们旨在评估完成PrOFILE的机构的MDC会议的特点。
方法:从2019年到2021年,来自23个国家的112个机构通过使用PrOFILE的缩写版本收集了数据。在二级数据分析中,我们描述性地分析了按收入水平分层的MDC会议的特征.
结果:参与机构位于低收入国家(LIC)(n=6),中低收入国家(LMICs)(n=34),中上收入国家(UMICs)(n=55),和高收入国家(HIC)(n=17)。在112个参与的设施中,79%报告有MDC会议。MDC的存在因收入而异,50%的LIC和100%的HIC托管MDC。MDC会议的频率也不同,LIC中100%的MDC每周发生一次,而HIC中53%的MDC每月发生一次。所有参与机构定期参加MDC会议的专业是血液学/肿瘤学(93%),病理学(52%),放射学(60%),普外科(57%),和放射肿瘤学(51%)。LIC的所有MDC会议都报告了这些专业的代表。测试结果的可用性和对新病例的讨论没有随收入而变化。确定了以下特征的剩余差异:讨论新的和有趣的案例,纳入患者偏好,和紧急会面的能力。
结论:功能性MDC会议的存在和组成部分可能因国家/地区的收入水平而异。某些组件的变化,比如进入测试,可能是由于资源分配的差异,但其他因素,如纳入患者的偏好和紧急满足能力,可以在所有环境中进行优化,以促进高质量的团队合作和沟通。
OBJECTIVE: Multidisciplinary care (MDC) meetings improve the quality of cancer care by providing a space for interdisciplinary communication. The Pediatric Oncology Facility Integrated Local Evaluation (PrOFILE) tool assesses MDC meetings as part of the Service Integration module. We aimed to evaluate the characteristics of MDC meetings at institutions that completed PrOFILE.
METHODS: From 2019 to 2021, 112 institutions from 23 countries collected data by utilizing the abbreviated version of PrOFILE. Within a secondary data analysis, we descriptively analyzed the characteristics of MDC meetings stratified by income level.
RESULTS: Participating institutions were located in low-income countries (LICs) (n = 6), lower-middle-income countries (LMICs) (n = 34), upper-middle-income countries (UMICs) (n = 55), and high-income countries (HICs) (n = 17). Of the 112 participating facilities, 79% reported having MDC meetings. The existence of an MDC varied with income, with 50% of LICs and 100% of HICs hosting MDCs. The frequency of MDC meetings also differed, with 100% of MDCs in LICs occurring weekly, while 53% of MDCs in HICs occurred monthly. Specialties regularly represented at MDC meetings across all participating institutions were hematology/oncology (93%), pathology (52%), radiology (60%), general surgery (57%), and radiation oncology (51%). All MDC meetings in LICs reported representation from these specialties. Availability of test results and discussion of new cases did not vary with income. Residual disparities were identified for the following characteristics: discussion of new and interesting cases, inclusion of patient preferences, and ability to meet urgently.
CONCLUSIONS: The existence and components of a functional MDC meeting may vary between countries\' income levels. Variation in certain components, such as access to tests, may be due to differences in resource distribution, but other factors such as inclusion of patient preferences and ability to meet urgently can be optimized in all settings to foster high-quality teamwork and communication.