Cancer multidisciplinary team meetings in rural and metropolitan South Australia: an evaluation of structure and practice

Baratiny, G. and Doherty, T. (2009) Cancer multidisciplinary team meetings in rural and metropolitan South Australia: an evaluation of structure and practice. In: 36th COSA Annual Scientific Meeting (COSA 2009), 17-19 Nov 2009, Gold Coast, Australia.

Abstract

Aim: To gain an understanding of the key components of multidisciplinary team (MDT) meeting structure and practice; with the aim of improving current practice and informing best practice for future cancer MDTs.

Methods: A retrospective review of MDT meeting documentation was undertaken, between June and July 2009, at the South Australian sites of two pilot cancer MDTs: a rural MDT which started running fortnightly
meetings in October 2008, and a metropolitan MDT which started fortnightly meetings in December 2008. Data was collected with an evaluation database developed using the MDTs’ Terms of Reference (e.g. objectives, operational guidelines and protocols), meeting records (e.g. attendance lists, agenda, minutes) and templates (e.g. treatment plan pro-forma). The database consisted of two major sections: one for collecting data on the administrative aspects of running MDT meetings, another for collecting aggregated
clinical discussion data.

Results: Over the evaluation period, the mean number of cases discussed per MDT meeting was 6.9 (SD 3.3, range 1–12 patients) for the rural MDT and 7.2 (SD 1.7, range 4–10 patients) for the metropolitan MDT. Patient information required for comprehensive case presentation was not complete for 29% of rural MDT meetings and 18% of metropolitan meetings. Whereas the rural MDT documented that referring clinicians (100%) and general practitioners (100%) had been formally informed of MDT meeting
outcomes, the metropolitan MDT did not captured that information.

Rural MDT meetings were attended by approximately 16 (SD 3.6, range 8–22) core team members, with representation from up to 13 different disciplines. Metropolitan meetings consisted of about 26 (SD 7.1, range 14–39) core team members from up to 14 disciplines. Overall, 43% of the rural
MDT members and 25% of metropolitan team members attended by
videoconference.

Conclusion: The findings have implications for coordinated cancer care in South Australia thereby improving the quality of patient care.


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Item Type: Conference or Workshop Item (Commonwealth Reporting Category E) (Poster)
Refereed: Yes
Item Status: Live Archive
Additional Information: Abstract only published - #343. Permanent restricted access, in accordance with the copyright policy of the publisher.
Faculty / Department / School: Current - Institute for Agriculture and the Environment
Date Deposited: 31 Aug 2016 05:23
Last Modified: 09 Jan 2017 06:01
Uncontrolled Keywords: cancer multidisciplinary team meetings; rural South Australia; metropolitan South Australia
Fields of Research : 11 Medical and Health Sciences > 1112 Oncology and Carcinogenesis > 111204 Cancer Therapy (excl. Chemotherapy and Radiation Therapy)
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
Socio-Economic Objective: C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health
URI: http://eprints.usq.edu.au/id/eprint/28629

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