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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Author
Soukup, T; Lamb, BW; Arora, S; Darzi, A; Sevdalis, N; Green, JSADate
2018-01-01Source Title
Journal of Multidisciplinary HealthcarePublisher
DOVE MEDICAL PRESS LTDUniversity of Melbourne Author/s
Sevdalis, NickAffiliation
Surgery (Austin & Northern Health)Metadata
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Journal ArticleCitations
Soukup, T., Lamb, B. W., Arora, S., Darzi, A., Sevdalis, N. & Green, J. S. A. (2018). Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature. JOURNAL OF MULTIDISCIPLINARY HEALTHCARE, 11, pp.49-61. https://doi.org/10.2147/JMDH.S117945.Access Status
Open AccessAbstract
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.
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