Multi-disciplinary clinic models for the management of non-alcoholic fatty liver disease

Zoncapè, Mirko; Liguori, Antonio; Tsochatzis, Emmanuel

doi:10.21037/hbsn-22-58

Cited by 5 publications

(6 citation statements)

References 15 publications

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“…If the patient cannot be seen simultaneously by several specialists, referrals and appointments must be organized and planned. This requires a significant amount of organizational, as well as operational, and staffing resources [ 41 , 42 ].…”

Section: Lung Cancer Care Modelsmentioning

confidence: 99%

“…This multidisciplinary model has been linked to fewer unnecessary delays from diagnosis to treatment initiation, enhanced communication among team members, increased diagnostic accuracy, guided by a review panel of specialists in radiology and pathology, together with adherence to national guidelines. Furthermore, this model improves patient satisfaction [39], as well as clinical and financial outcomes [24] through timely assessment and treatment [40]. Even if organized differently, multidisciplinary clinic models are greatly appreciated by patients, favor doctor-patient communication, and decrease the travel time for clinical appointments and diagnostic tests.…”

Section: Multidisciplinary Clinic Modelmentioning

confidence: 99%

“…Quality of life and patient experience are enhanced with this model while decreasing healthcare expenditures [24]. The multidisciplinary clinic model could be a way to reduce physician burnout because it promotes collegiality and interpersonal relationships, as reported by physicians [40]. The strengths of co-location and co-coordination of care in this model, are contrasted by some generic weaknesses.…”

Section: Multidisciplinary Clinic Modelmentioning

confidence: 99%

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Improving the quality of patient care in lung cancer: key factors for successful multidisciplinary team working

Morabito,

Mercadante,

Muto

et al. 2024

Exploration of Targeted Anti-Tumor Therapy

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International Guidelines as well as Cancer Associations recommend a multidisciplinary approach to lung cancer care. A multidisciplinary team (MDT) can significantly improve treatment decision-making and patient coordination by putting different physicians and other health professionals “in the same room”, who collectively decide upon the best possible treatment. However, this is not a panacea for cancer treatment. The impact of multidisciplinary care (MDC) on patient outcomes is not univocal, while the effective functioning of the MDT depends on many factors. This review presents the available MDT literature with an emphasis on the key factors that characterize high-quality patient care in lung cancer. The study was conducted with a bibliographic search using different electronic databases (PubMed Central, Scopus, Google Scholar, and Google) referring to multidisciplinary cancer care settings. Many key elements appear consolidated, while others emerge as prevalent and actual, especially those related to visible barriers which work across geographic, organizational, and disciplinary boundaries. MDTs must be sustained by strategic management, structured within the entity, and cannot be managed as a separate care process. Furthermore, they need to coordinate with other teams (within and outside the organization) and join with the broad range of services delivered by multiple providers at various points of the cancer journey or within the system, with the vision of integrated care.

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Section: Lung Cancer Care Modelsmentioning

confidence: 99%

Section: Multidisciplinary Clinic Modelmentioning

confidence: 99%

Section: Multidisciplinary Clinic Modelmentioning

confidence: 99%

See 1 more Smart Citation

Improving the quality of patient care in lung cancer: key factors for successful multidisciplinary team working

Morabito,

Mercadante,

Muto

et al. 2024

Exploration of Targeted Anti-Tumor Therapy

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“…Efforts are currently underway to develop more uniform guidelines to assist providers with NAFLD. Because patients with NAFLD have concurrent diabetes, cardiovascular disease and dyslipidemia, multidisciplinary care with various specialists is essential[ 40 , 41 ].…”

Section: Non-alcoholic Fatty Liver Diseasementioning

confidence: 99%

Current status of disparity in liver disease

Sempokuya¹,

Warner²,

Azawi³

et al. 2022

World J Hepatol

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Disparities have emerged as an important issue in many aspects of healthcare in developed countries and may be based on race, ethnicity, sex, geographical location, and socioeconomic status. For liver disease specifically, these potential disparities can affect access to care and outcome in viral hepatitis, chronic liver disease, and hepatocellular carcinoma. Shortages in hepatologists and medical providers versed in liver disease may amplify these disparities by compromising early detection of liver disease, surveillance for hepatocellular carcinoma, and prompt referral to subspecialists and transplant centers. In the United States, continued efforts have been made to address some of these disparities with better education of healthcare providers, use of telehealth to enhance access to specialists, reminders in electronic medical records, and modifying organ allocation systems for liver transplantation. This review will detail the current status of disparities in liver disease and describe current efforts to minimize these disparities.

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“…In countries where general practitioners are overbooked and specialized medicine is highly fragmented in the cardiometabolic field, hepatologists could share the medical burden and avoid unnecessary delays by adopting first-line screening for several medical comorbidities or by assessing cardiovascular risk and initiating prescription of lipid-lowering medication when necessary. Ideally, this should be done in multidisciplinary clinics 1,2 that colocate and coordinate care, thereby reducing the risk of overlooked diagnosis and mismanagement, and increasing patient compliance 3 . In the absence of such structures and particularly in patients first diagnosed with NAFLD, hepatologists should strive to save unnecessary hospital visits by initiating a holistic diagnostic workup themselves.…”

mentioning

confidence: 99%