Experiences of hospital-based multidisciplinary team meetings in oncology: An interview study among participating general practitioners

Abstract

Background: Cancer care has become complex, requiring healthcare professionals to collaborate to provide high-quality care. Multidisciplinary oncological team (MDT) meetings in the hospital have been implemented to coordinate individual cancer patients’ care. General practitioners (GPs) are invited to join, but their participation is minimal.Objectives: Aim of this study is to explore participating GPs’ perceptions of their current role and to understand their preferences towards effective role execution during MDT meetings.Methods: In May to June 2014, semi-structured interviews (n = 16) were conducted involving GPs with MDT experience in Belgium. The analysis was done according to qualitative content analysis principles.Results: Attendance of an MDT meeting is perceived as part of the GP’s work, especially for complex patient care situations. Interprofessional collaborative relationships and the GP’s perceived benefit to the MDT meeting discussions are important motivators to participate. Enhanced continuity of information flow and optimized organizational time management were practical aspects triggering the GP’s intention to participate. GPs valued the communication with the patient before and after the meeting as an integral part of the MDT dynamics.Conclusion: GPs perceive attendance of the MDT meeting as an integral part of their job. Suggestions are made to enhance the efficiency of the meetings.

Continuity of care experienced by patients in a multi-institutional pancreatic care network: a pilot study

“…In literature, several interventions are described to improve COC experienced by patients with multiple care providers. Some suggest the MDT is best able to coordinate care and ensure continuity of patient care and that the involvement of a GP in the MDT, for instance by means of video call, may lead to better coordination and continuity of care [30,31]. Others propose joint consultations with GPs, oncologists and the patient [32].…”

Cross-sectoral video consultations in cancer care: perspectives of cancer patients, oncologists and general practitioners

“…However, for years, video solutions have been used for multidisciplinary team meetings in cancer treatment planning [ 16 ]. Recent trials have included GPs [ 17 ] or patients [ 18 , 19 ], but not simultaneously. Moreover, video solutions have been used in palliative care, and studies have highlighted how video consultations can contribute to effective and inclusive communication, and facilitate a feeling of security, trust and relationship building although sitting apart [ 20 , 21 ].…”

Needs and preferences of patients with head and neck cancer in integrated care

“…Patients in our study expect an active involvement of GPs at referral, during transfer and for emotional support in the aftercare. GPs’ engagement can be increased by involving them in the multidisciplinary team meetings before determining the treatment and before discharge of the patient . In the last case, a patient‐specific follow‐up plan can be developed together with the GP, the specialist and the patient.…”