Cancer multidisciplinary team meetings in a rural and metropolitan site: investigating the facilitators and understanding the challenges

Baratiny, G. and Salveron, M. and Robinson, G. (2009) Cancer multidisciplinary team meetings in a rural and metropolitan site: investigating the facilitators and understanding the challenges. In: 36th COSA Annual Scientific Meeting (COSA 2009), 17-19 Nov 2009, Gold Coast, Australia.


Aim: To examine the facilitators of and barriers to the implementation of two pilot cancer multidisciplinary teams (MDTs) established in a rural and metropolitan site across South Australia.

Methods: Healthcare professionals involved in the delivery of cancer MDTs were randomly selected to participate in qualitative structured interviews between April and June 2009. The interviews investigated the enablers of
and barriers to the MDT process and also explored opportunities and strategies for improvement. Content and thematic analyses were undertaken.

Results: A total of 24 interviews (13 rural, 11 metropolitan) were conducted. Administration and coordination, leadership and a strong commitment
to the MDT approach emerged as key enablers to the delivery and implementation of the cancer MDTs. While information and communication technology (ICT) was seen as key enabler of communication between clinicians working from different sites, across the state and interstate, the
poor quality of the available ICT, in both settings, was problematic. Furthermore, opportunities for the improvement of the metropolitan MDT included the refinement of the pre- and post-MDT meeting process and the need to more clearly define roles and responsibilities. For the rural cancer
MDT, the importance of addressing the psychosocial needs of patients in cancer care was highlighted.

Conclusion: This qualitative evaluation has revealed that the effective functioning of cancer MDTs is based on an interplay of factors including team commitment, strong leadership, effective administration and coordination
and a well-defined MDT processes. It is therefore essential that cancer MDTs are adequately resourced and funded. The identification of these facilitators and barriers further contributes to the continued improvement and refinement of the multidisciplinary approach to cancer care in both
metropolitan and rural South Australia.

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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 - #431. 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 07:04
Last Modified: 09 Jan 2017 06:02
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

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