Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method Evaluation
Introduction: The reorganisation of the structure of a Gastro-Intestinal Oncology Multidisciplinary Team Meeting (GIO-MDTM) in a tertiary centre with three care pathways is evaluated on added value. Methods: In a mixed method investigation, process indicators such as throughput times were analysed a...
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doaj-0623fb32998b4de38f21ba064fcab34a2021-03-16T05:02:02ZengUbiquity PressInternational Journal of Integrated Care1568-41562021-02-0121110.5334/ijic.55265108Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method EvaluationLidia S. van Huizen0Pieter U. Dijkstra1Patrick H.J. Hemmer2Boudewijn van Etten3Carlijn I. Buis4Linde Olsder5Frederike G.I. van Vilsteren6Kees (C.)T. B. Ahaus7Jan L.N. Roodenburg8University of Groningen, University Medical Center Groningen, Department of Oral and Maxillofacial Surgery, Groningen; University of Groningen, University Medical Center Groningen, Department of Quality and Patient Safety, Groningen, NL; Kerteza, a Worldwide Consultancy and Training Institute for Healthcare Organizations, KasterleeUniversity of Groningen, University Medical Center Groningen, Department of Oral and Maxillofacial Surgery, Groningen, The NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Surgery, GroningenUniversity of Groningen, University Medical Center Groningen, Department of Surgery, GroningenUniversity of Groningen, University Medical Center Groningen, Department of Surgery, GroningenUniversity of Groningen, University Medical Center Groningen, Department of Surgery, GroningenUniversity of Groningen, University Medical Center Groningen, Department of Gastroenterology and Hepatology, GroningenUniversity of Groningen, University Medical Center Groningen, Department of Quality and Patient Safety, Groningen; Erasmus University Rotterdam, Erasmus School of Health Policy & Management, RotterdamUniversity of Groningen, University Medical Center Groningen, Department of Oral and Maxillofacial Surgery, GroningenIntroduction: The reorganisation of the structure of a Gastro-Intestinal Oncology Multidisciplinary Team Meeting (GIO-MDTM) in a tertiary centre with three care pathways is evaluated on added value. Methods: In a mixed method investigation, process indicators such as throughput times were analysed and stakeholders were interviewed regarding benefits and drawbacks of the reorganisation and current MDTM functioning. Results: For the hepatobiliary care pathway, the time to treatment plan increased, but the time to start treatment reduced significantly. The percentage of patients treated within the Dutch standard of 63 days increased for the three care pathways. From the interviews, three themes emerged: added value of MDTMs, focus on planning integrated care and awareness of possible improvements. Discussion: The importance of evaluating interventions in oncology care pathways is shown, including detecting unexpected drawbacks. The evaluation provides insight into complex dynamics of the care pathways and contributes with recommendations on functioning of an MDTM. Conclusions: Throughput times are only partly determined by oncology care pathway management, but have influence on the functioning of MDTMs. Process indicator information can help to reflect on integration of care in the region, resulting in an increase of patients treated within the Dutch standard.https://www.ijic.org/articles/5526oncologyintegrated carecritical pathways (mesh)care pathwaysmultidisciplinary team meetings (mdtm)added valuemixed method evaluation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lidia S. van Huizen Pieter U. Dijkstra Patrick H.J. Hemmer Boudewijn van Etten Carlijn I. Buis Linde Olsder Frederike G.I. van Vilsteren Kees (C.)T. B. Ahaus Jan L.N. Roodenburg |
spellingShingle |
Lidia S. van Huizen Pieter U. Dijkstra Patrick H.J. Hemmer Boudewijn van Etten Carlijn I. Buis Linde Olsder Frederike G.I. van Vilsteren Kees (C.)T. B. Ahaus Jan L.N. Roodenburg Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method Evaluation International Journal of Integrated Care oncology integrated care critical pathways (mesh) care pathways multidisciplinary team meetings (mdtm) added value mixed method evaluation |
author_facet |
Lidia S. van Huizen Pieter U. Dijkstra Patrick H.J. Hemmer Boudewijn van Etten Carlijn I. Buis Linde Olsder Frederike G.I. van Vilsteren Kees (C.)T. B. Ahaus Jan L.N. Roodenburg |
author_sort |
Lidia S. van Huizen |
title |
Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method Evaluation |
title_short |
Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method Evaluation |
title_full |
Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method Evaluation |
title_fullStr |
Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method Evaluation |
title_full_unstemmed |
Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method Evaluation |
title_sort |
reorganizing the multidisciplinary team meetings in a tertiary centre for gastro-intestinal oncology adds value to the internal and regional care pathways. a mixed method evaluation |
publisher |
Ubiquity Press |
series |
International Journal of Integrated Care |
issn |
1568-4156 |
publishDate |
2021-02-01 |
description |
Introduction: The reorganisation of the structure of a Gastro-Intestinal Oncology Multidisciplinary Team Meeting (GIO-MDTM) in a tertiary centre with three care pathways is evaluated on added value. Methods: In a mixed method investigation, process indicators such as throughput times were analysed and stakeholders were interviewed regarding benefits and drawbacks of the reorganisation and current MDTM functioning. Results: For the hepatobiliary care pathway, the time to treatment plan increased, but the time to start treatment reduced significantly. The percentage of patients treated within the Dutch standard of 63 days increased for the three care pathways. From the interviews, three themes emerged: added value of MDTMs, focus on planning integrated care and awareness of possible improvements. Discussion: The importance of evaluating interventions in oncology care pathways is shown, including detecting unexpected drawbacks. The evaluation provides insight into complex dynamics of the care pathways and contributes with recommendations on functioning of an MDTM. Conclusions: Throughput times are only partly determined by oncology care pathway management, but have influence on the functioning of MDTMs. Process indicator information can help to reflect on integration of care in the region, resulting in an increase of patients treated within the Dutch standard. |
topic |
oncology integrated care critical pathways (mesh) care pathways multidisciplinary team meetings (mdtm) added value mixed method evaluation |
url |
https://www.ijic.org/articles/5526 |
work_keys_str_mv |
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