Development and prospects of multi-disciplinary team in digital era_West China Medical Journal

Authors：

WANG Huanlin ^1,2 , HE Qian ^1,2 , DAI Jialing ^1,2 ,  WAN Zhi ^1,2

1. Rare Diseases Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Outpatient Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

WAN Zhi, Email: 303680215@qq.com

Keywords：

Multi-disciplinary team; Internet Plus; digitization; development prospect

DOI：

10.7507/1002-0179.202304129

Video：

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The national policy on high-quality development of hospitals proposes to strengthen information technology support and actively promote the multi-disciplinary team (MDT) model. How to use the “Internet Plus” technology and operation mode to promote MDT communication and improve the efficiency of diagnosis and treatment in the digital and intelligent information age is a direction worthy of attention and research. This paper systematically reviews the current development status of MDT informatization construction at home and abroad. Based on the current challenges and opportunities, it makes prospects for the future development of MDT informatization construction from the aspects of strengthening the digital and intelligent support of MDT operation, connecting MDT “information silos”, and deepening the construction of MDT supervision and effect evaluation system, etc.

Citation： WANG Huanlin, HE Qian, DAI Jialing, WAN Zhi. Development and prospects of multi-disciplinary team in digital era. West China Medical Journal, 2024, 39(1): 6-10. doi: 10.7507/1002-0179.202304129 Copy

1.	孫湛, 楊麗, 邵雨婷, 等. 多學科診療模式現狀分析與思考. 中國衛生質量管理, 2018, 25(6): 37-40.
2.	毛一晴, 康定鼎, 張博文, 等. 國內外多學科團隊診療模式研究進展. 中國醫院, 2022, 26(3): 18-21.
3.	鄭雅卿, 吳舒婷, 林孟波. 基于 SWOT 分析法的三級醫院多學科診療發展策略. 河南醫學研究, 2021, 30(29): 5480-5483.
4.	曾茜, 許書培, 鐘曉剛, 等. 廣西某三級公立醫院多學科診療模式的實踐與探討. 現代醫院, 2020, 20(4): 527-530.
5.	梁苗苗, 劉雅, 安書杰, 等. 多學科聯合會診問題分析與改進. 中國衛生質量管理, 2022, 29(3): 40-42.
6.	呂藝芝, 楊堅, 陳郁明. 我國三級醫院多學科協作診療模式開展現狀調查分析. 中國醫院, 2021, 25(2): 21-23.
7.	吳茜, 孫曉, 宋瑞梅, 等. 美國多學科協作模式管理與啟示. 中國護理管理, 2018, 18(8): 1017-1020.
8.	Potthoff LM. Telemedicine and integrated multidisciplinary care for pediatric IBD patients: a review. Children (Basel), 2021, 8(5): 347.
9.	Rosell L, Wihl J, Hagberg O, et al. Function, information, and contributions: an evaluation of national multidisciplinary team meetings for rare cancers. Rare Tumors, 2019, 11: 2036361319841696.
10.	Lopez JJ, Svetanoff WJ, Rosen JM, et al. Leveraging collaboration in pediatric multidisciplinary colorectal care using a telehealth platform. Am Surg, 2022, 88(9): 2320-2326.
11.	Stevenson MM, Irwin T, Lowry T, et al. Development of a virtual multidisciplinary lung cancer tumor board in a community setting. J Oncol Pract, 2013, 9(3): e77-e80.
12.	Wei J, Fang X, Qiao J, et al. Construction on teaching quality evaluation indicator system of multi-disciplinary team (MDT) clinical nursing practice in China: a Delphi study. Nurse Educ Pract, 2022, 64: 103452.
13.	Basta YL, Bolle S, Fockens P, et al. The value of multidisciplinary team meetings for patients with gastrointestinal malignancies: a systematic review. Ann Surg Oncol, 2017, 24(9): 2669-2678.
14.	Pillay B, Wootten AC, Crowe H, et al. The impact of multidisciplinary team meetings on patient assessment, management and outcomes in oncology settings: a systematic review of the literature. Cancer Treat Rev, 2016, 42: 56-72.
15.	Blasi L, Bordonaro R, Serretta V, et al. Virtual clinical and precision medicine tumor boards-cloud-based platform-mediated implementation of multidisciplinary reviews among oncology centers in the COVID-19 era: protocol for an observational study. JMIR Res Protoc, 2021, 10(9): e26220.
16.	金丹, 徐靜, 馬楠, 等. 醫院多學科診療的信息化管理體系構建. 中華醫院管理雜志, 2019, 35(12): 999-1003.
17.	高慧, 孟力, 楊琳. 綜合醫院多學科會診信息化工作模式實踐. 中國衛生產業, 2022, 19(2): 169-172.
18.	姚剛, 王梁, 張曉祥, 等. 基于專科信息平臺的聯合門診就診流程優化. 中華醫學圖書情報雜志, 2019, 28(5): 77-80.
19.	陳露, 徐道亮, 居益君, 等. 門診多學科協作診療信息平臺構建與應用. 中國數字醫學, 2017, 12(9): 53-55.
20.	徐敏. 全景醫療在醫院多學科診療模式會診中的創新應用. 醫學信息, 2017, 30(24): 14-15.
21.	鮑瑞慶, 左民, 張秩兒, 等. 信息化支撐下的門診多學科協作診療的優化運行研究. 中國醫院, 2016, 20(7): 9-11.
22.	翁衛群, 儲曉彬, 曹維煒, 等. 醫院多學科聯合診療門診智能化管理平臺的構建與應用. 江蘇衛生事業管理, 2020, 31(7): 924-926, 942.
23.	鄭雅卿, 吳曉琪, 林孟波, 等. 基于多學科診療信息平臺的多學科診療效率提升實踐. 中國醫藥科學, 2022, 17(12): 161-164.
24.	孟凡松, 徐曉慶, 宋吉祥, 等. 醫院行政主導下網絡化全覆蓋多學科協作診療管理模式的建立與應用. 中華醫院管理雜志, 2021, 37(5): 385-388.
25.	吳自珍, 鄭杰. 腫瘤多學科診療信息化平臺的設計與實現. 電腦知識與技術, 2022, 18(20): 4-9.
26.	趙艷, 朱立峰. 瑞金醫院多學科聯合門診(MDT)平臺建設探索. 中國數字醫學, 2018, 13(12): 68-71.
27.	孔勤, 徐新. 基于閉環管理的院內會診流程優化設計與實現. 中國數字醫學, 2017, 12(12): 15-17.
28.	朱卉, 蔣抒, 單清, 等. 基于移動互聯網終端的多學科協作診療模式基礎構思. 江蘇衛生事業管理, 2020, 31(4): 479-481.
29.	賀嘉嘉, 李生, 王凱. MDT 智能醫聯體(區域診治中心)建設探索與實踐//中南六省(區)和港澳臺三地醫院院長高峰論壇論文匯編. 海口: 海南省醫院協會, 2018: 10-12.
30.	魏惠燕, 潘紅英, 黃晨, 等. 醫院社區多學科聯動慢性傷口居家護理云平臺的構建及實施. 護理學雜志, 2022, 37(21): 86-89.
31.	Taylor C, Atkins L, Richardson A, et al. Measuring the quality of MDT working: an observational approach. BMC Cancer, 2012(12): 202.
32.	Lamb BW, Green JS, Benn J, et al. Improving decision making in multidisciplinary tumor boards: prospective longitudinal evaluation of a multicomponent intervention for 1, 421 patients. J Am Coll Surg, 2013, 217(3): 412-420.
33.	Lamb BW, Sevdalis N, Vincent C, et al. Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC. Ann Surg Oncol, 2012, 19(6): 1759-1765.
34.	Lamb BW, Miah S, Skolarus TA, et al. Development and validation of a short version of the metric for the observation of decision-making in multidisciplinary tumor boards: MODe-Lite. Ann Surg Oncol, 2021, 28(12): 7577-7588.
35.	Harris J, Taylor C, Sevdalis N, et al. Development and testing of the cancer multidisciplinary team meeting observational tool (MDT-MOT). Int J Qual Health Care, 2016, 28(3): 332-338.
36.	Jalil R, Soukup T, Akhter W, et al. Quality of leadership in multidisciplinary cancer tumor boards: development and evaluation of a leadership assessment instrument (ATLAS). World J Urol, 2018, 36(7): 1031-1038.
37.	Soukup T, Morbi A, Lamb BW, et al. A measure of case complexity for streamlining workflow in multidisciplinary tumor boards: mixed methods development and early validation of the MeDiC tool. Cancer Med, 2020, 9(14): 5143-5154.

1. 孫湛, 楊麗, 邵雨婷, 等. 多學科診療模式現狀分析與思考. 中國衛生質量管理, 2018, 25(6): 37-40.
2. 毛一晴, 康定鼎, 張博文, 等. 國內外多學科團隊診療模式研究進展. 中國醫院, 2022, 26(3): 18-21.
3. 鄭雅卿, 吳舒婷, 林孟波. 基于 SWOT 分析法的三級醫院多學科診療發展策略. 河南醫學研究, 2021, 30(29): 5480-5483.
4. 曾茜, 許書培, 鐘曉剛, 等. 廣西某三級公立醫院多學科診療模式的實踐與探討. 現代醫院, 2020, 20(4): 527-530.
5. 梁苗苗, 劉雅, 安書杰, 等. 多學科聯合會診問題分析與改進. 中國衛生質量管理, 2022, 29(3): 40-42.
6. 呂藝芝, 楊堅, 陳郁明. 我國三級醫院多學科協作診療模式開展現狀調查分析. 中國醫院, 2021, 25(2): 21-23.
7. 吳茜, 孫曉, 宋瑞梅, 等. 美國多學科協作模式管理與啟示. 中國護理管理, 2018, 18(8): 1017-1020.
8. Potthoff LM. Telemedicine and integrated multidisciplinary care for pediatric IBD patients: a review. Children (Basel), 2021, 8(5): 347.
9. Rosell L, Wihl J, Hagberg O, et al. Function, information, and contributions: an evaluation of national multidisciplinary team meetings for rare cancers. Rare Tumors, 2019, 11: 2036361319841696.
10. Lopez JJ, Svetanoff WJ, Rosen JM, et al. Leveraging collaboration in pediatric multidisciplinary colorectal care using a telehealth platform. Am Surg, 2022, 88(9): 2320-2326.
11. Stevenson MM, Irwin T, Lowry T, et al. Development of a virtual multidisciplinary lung cancer tumor board in a community setting. J Oncol Pract, 2013, 9(3): e77-e80.
12. Wei J, Fang X, Qiao J, et al. Construction on teaching quality evaluation indicator system of multi-disciplinary team (MDT) clinical nursing practice in China: a Delphi study. Nurse Educ Pract, 2022, 64: 103452.
13. Basta YL, Bolle S, Fockens P, et al. The value of multidisciplinary team meetings for patients with gastrointestinal malignancies: a systematic review. Ann Surg Oncol, 2017, 24(9): 2669-2678.
14. Pillay B, Wootten AC, Crowe H, et al. The impact of multidisciplinary team meetings on patient assessment, management and outcomes in oncology settings: a systematic review of the literature. Cancer Treat Rev, 2016, 42: 56-72.
15. Blasi L, Bordonaro R, Serretta V, et al. Virtual clinical and precision medicine tumor boards-cloud-based platform-mediated implementation of multidisciplinary reviews among oncology centers in the COVID-19 era: protocol for an observational study. JMIR Res Protoc, 2021, 10(9): e26220.
16. 金丹, 徐靜, 馬楠, 等. 醫院多學科診療的信息化管理體系構建. 中華醫院管理雜志, 2019, 35(12): 999-1003.
17. 高慧, 孟力, 楊琳. 綜合醫院多學科會診信息化工作模式實踐. 中國衛生產業, 2022, 19(2): 169-172.
18. 姚剛, 王梁, 張曉祥, 等. 基于專科信息平臺的聯合門診就診流程優化. 中華醫學圖書情報雜志, 2019, 28(5): 77-80.
19. 陳露, 徐道亮, 居益君, 等. 門診多學科協作診療信息平臺構建與應用. 中國數字醫學, 2017, 12(9): 53-55.
20. 徐敏. 全景醫療在醫院多學科診療模式會診中的創新應用. 醫學信息, 2017, 30(24): 14-15.
21. 鮑瑞慶, 左民, 張秩兒, 等. 信息化支撐下的門診多學科協作診療的優化運行研究. 中國醫院, 2016, 20(7): 9-11.
22. 翁衛群, 儲曉彬, 曹維煒, 等. 醫院多學科聯合診療門診智能化管理平臺的構建與應用. 江蘇衛生事業管理, 2020, 31(7): 924-926, 942.
23. 鄭雅卿, 吳曉琪, 林孟波, 等. 基于多學科診療信息平臺的多學科診療效率提升實踐. 中國醫藥科學, 2022, 17(12): 161-164.
24. 孟凡松, 徐曉慶, 宋吉祥, 等. 醫院行政主導下網絡化全覆蓋多學科協作診療管理模式的建立與應用. 中華醫院管理雜志, 2021, 37(5): 385-388.
25. 吳自珍, 鄭杰. 腫瘤多學科診療信息化平臺的設計與實現. 電腦知識與技術, 2022, 18(20): 4-9.
26. 趙艷, 朱立峰. 瑞金醫院多學科聯合門診(MDT)平臺建設探索. 中國數字醫學, 2018, 13(12): 68-71.
27. 孔勤, 徐新. 基于閉環管理的院內會診流程優化設計與實現. 中國數字醫學, 2017, 12(12): 15-17.
28. 朱卉, 蔣抒, 單清, 等. 基于移動互聯網終端的多學科協作診療模式基礎構思. 江蘇衛生事業管理, 2020, 31(4): 479-481.
29. 賀嘉嘉, 李生, 王凱. MDT 智能醫聯體(區域診治中心)建設探索與實踐//中南六省(區)和港澳臺三地醫院院長高峰論壇論文匯編. 海口: 海南省醫院協會, 2018: 10-12.
30. 魏惠燕, 潘紅英, 黃晨, 等. 醫院社區多學科聯動慢性傷口居家護理云平臺的構建及實施. 護理學雜志, 2022, 37(21): 86-89.
31. Taylor C, Atkins L, Richardson A, et al. Measuring the quality of MDT working: an observational approach. BMC Cancer, 2012(12): 202.
32. Lamb BW, Green JS, Benn J, et al. Improving decision making in multidisciplinary tumor boards: prospective longitudinal evaluation of a multicomponent intervention for 1, 421 patients. J Am Coll Surg, 2013, 217(3): 412-420.
33. Lamb BW, Sevdalis N, Vincent C, et al. Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC. Ann Surg Oncol, 2012, 19(6): 1759-1765.
34. Lamb BW, Miah S, Skolarus TA, et al. Development and validation of a short version of the metric for the observation of decision-making in multidisciplinary tumor boards: MODe-Lite. Ann Surg Oncol, 2021, 28(12): 7577-7588.
35. Harris J, Taylor C, Sevdalis N, et al. Development and testing of the cancer multidisciplinary team meeting observational tool (MDT-MOT). Int J Qual Health Care, 2016, 28(3): 332-338.
36. Jalil R, Soukup T, Akhter W, et al. Quality of leadership in multidisciplinary cancer tumor boards: development and evaluation of a leadership assessment instrument (ATLAS). World J Urol, 2018, 36(7): 1031-1038.
37. Soukup T, Morbi A, Lamb BW, et al. A measure of case complexity for streamlining workflow in multidisciplinary tumor boards: mixed methods development and early validation of the MeDiC tool. Cancer Med, 2020, 9(14): 5143-5154.

West China Medical Journal

Development and prospects of multi-disciplinary team in digital era

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