지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 1,164 - 1,169 (6page)
이용수
초록· 키워드
오류제보하기
Purpose This study was conducted to explore the process and operation of a cancer multidisciplinary team (MDT) after the reimbursement decision in Korea, and to identify ways to overcome the major barriers to effective and sustainable MDTs.
Materials and Methods Approximately 1,000 cancer specialists, including medical oncologists, surgical oncologists, radiation oncologists, pathologists, and radiologists in general hospitals in Korea were invited to complete the survey. The questionnaire covered the following topics: organizational structure of MDTs, candidates for consulting, the clinical decision-making initiative, and responsibility for dealing with legal disputes.
Results We collected a total of 179 responses (18%) from physicians at institutions where an MDT approach was active. A surgical oncologist (91%), internist (90%), radiologist (89%), radiation oncologist (86%), pathologist (71%), and trainees (20%) regularly participated in MDT operations. Approximately 55% of respondents stated that MDTs met regularly. In cases of a split opinion, the physician in charge (69%) or chairperson (17%) made the final decision, and most (86%) stated they followed the final decision. About 15% and 32% of respondents were “very satisfied” and “satisfied,” respectively, with the current MDT’s operations. Among 38 institutional representatives, 34% responded that the MDT operation became more active and 18% stated an MDT was newly implemented after the reimbursement decision.
Conclusion The reimbursement decision invigorated MDT operations in almost half of eligible hospitals.
Dissatisfaction regarding current MDTs was over 50%, and the high discordance rates regarding risk sharing suggest that it is necessary to revise the current system of MDTs.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Ajani JA / 2015 / Esophageal and esophagogastric junction cancers, version 1.2015 / J Natl Compr Canc Netw 13 : 194 ~ 227
Benson AB 3rd / 2014 / Colon cancer, version 3.2014 / J Natl Compr Canc Netw 12 : 1028 ~ 1059
Bjegovich-Weidman M / 2010 / Establishing a community-based lung cancer multidisciplinary clinic as part of a large integrated health care system: aurora health care / J Onc
Coory M / 2008 / Systematic review of multidisciplinary teams in the management of lung cancer / Lung Cancer 60 : 14 ~ 21
Ettinger DS / 2016 / NCCN guidelines insights: non-small cell lung cancer, version 4.2016 / J Natl Compr Canc Netw 14 : 255 ~ 264
Benson AB 3rd / 2014 / Colon cancer, version 3.2014 / J Natl Compr Canc Netw 12 : 1028 ~ 1059
Bjegovich-Weidman M / 2010 / Establishing a community-based lung cancer multidisciplinary clinic as part of a large integrated health care system: aurora health care / J Onc
Coory M / 2008 / Systematic review of multidisciplinary teams in the management of lung cancer / Lung Cancer 60 : 14 ~ 21
Ettinger DS / 2016 / NCCN guidelines insights: non-small cell lung cancer, version 4.2016 / J Natl Compr Canc Netw 14 : 255 ~ 264
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