Ontology highlight
ABSTRACT: 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.
SUBMITTER: van Huizen LS
PROVIDER: S-EPMC7908930 | biostudies-literature | 2021 Feb
REPOSITORIES: biostudies-literature
van Huizen Lidia S LS Dijkstra Pieter U PU Hemmer Patrick H J PHJ van Etten Boudewijn B Buis Carlijn I CI Olsder Linde L van Vilsteren Frederike G I FGI Ahaus Kees C T B KCTB Roodenburg Jan L N JLN
International journal of integrated care 20210225 1
<h4>Introduction</h4>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.<h4>Methods</h4>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.<h4>Results</h4>For the hepatobiliary care pathway, the time to treatm ...[more]