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Multidisciplinary teams and social science: a patient perspective
Colorectal Disease ( IF 3.4 ) Pub Date : 2024-03-23 , DOI: 10.1111/codi.16957
Cheri Ostroff 1
Affiliation  

Multidisciplinary teams (MDTs) are common in colorectal cancer and have been deemed important when providing care. Yet they take place outside of the patient, often with little consideration of the patient's views, goals and desires. In this paper specific examples from a patient perspective are integrated with the social science literature to provide an overview of areas of disconnect between MDT recommendations and the individual patient. The reasons for these disconnects are explored, including how MDTs relate to dyadic patient–clinician relationships, weak incorporation of patient‐oriented outcomes in MDTs, poor integration of nonmedical patient information and the patient perspective and the impact of team dynamics and cognitive decision biases. Consideration of these issues should facilitate higher‐quality MDT recommendations that are also more acceptable to patients.

中文翻译:

多学科团队和社会科学:患者的视角

多学科团队 (MDT) 在结直肠癌中很常见,并且在提供护理时被认为很重要。然而,它们发生在患者之外,通常很少考虑患者的观点、目标和愿望。在本文中,从患者角度出发的具体示例与社会科学文献相结合,概述了 MDT 建议与个体患者之间脱节的领域。探讨了这些脱节的原因,包括 MDT 与二元患者-临床医生关系的关系、MDT 中以患者为导向的结果的整合不力、非医疗患者信息和患者观点的整合不佳以及团队动态和认知决策偏差的影响。考虑这些问题应该有助于提出更高质量的 MDT 建议,这些建议也更容易被患者接受。
更新日期:2024-03-23
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