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.	孙湛, 杨丽, 邵雨婷, 等. 多学科诊疗模式现状分析与思考. 中国卫生质量管理, 2018, 25(6): 37-40.
2.	毛一晴, 康定鼎, 张博文, 等. 国内外多学科团队诊疗模式研究进展. 中国医院, 2022, 26(3): 18-21.
3.	郑雅卿, 吴舒婷, 林孟波. 基于 SWOT 分析法的三级医院多学科诊疗发展策略. 河南医学研究, 2021, 30(29): 5480-5483.
4.	曾茜, 许书培, 钟晓刚, 等. 广西某三级公立医院多学科诊疗模式的实践与探讨. 现代医院, 2020, 20(4): 527-530.
5.	梁苗苗, 刘雅, 安书杰, 等. 多学科联合会诊问题分析与改进. 中国卫生质量管理, 2022, 29(3): 40-42.
6.	吕艺芝, 杨坚, 陈郁明. 我国三级医院多学科协作诊疗模式开展现状调查分析. 中国医院, 2021, 25(2): 21-23.
7.	吴茜, 孙晓, 宋瑞梅, 等. 美国多学科协作模式管理与启示. 中国护理管理, 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, 徐静, 马楠, 等. 医院多学科诊疗的信息化管理体系构建. 中华医院管理杂志, 2019, 35(12): 999-1003.
17.	高慧, 孟力, 杨琳. 综合医院多学科会诊信息化工作模式实践. 中国卫生产业, 2022, 19(2): 169-172.
18.	姚刚, 王梁, 张晓祥, 等. 基于专科信息平台的联合门诊就诊流程优化. 中华医学图书情报杂志, 2019, 28(5): 77-80.
19.	陈露, 徐道亮, 居益君, 等. 门诊多学科协作诊疗信息平台构建与应用. 中国数字医学, 2017, 12(9): 53-55.
20.	徐敏. 全景医疗在医院多学科诊疗模式会诊中的创新应用. 医学信息, 2017, 30(24): 14-15.
21.	鲍瑞庆, 左民, 张秩儿, 等. 信息化支撑下的门诊多学科协作诊疗的优化运行研究. 中国医院, 2016, 20(7): 9-11.
22.	翁卫群, 储晓彬, 曹维炜, 等. 医院多学科联合诊疗门诊智能化管理平台的构建与应用. 江苏卫生事业管理, 2020, 31(7): 924-926, 942.
23.	郑雅卿, 吴晓琪, 林孟波, 等. 基于多学科诊疗信息平台的多学科诊疗效率提升实践. 中国医药科学, 2022, 17(12): 161-164.
24.	孟凡松, 徐晓庆, 宋吉祥, 等. 医院行政主导下网络化全覆盖多学科协作诊疗管理模式的建立与应用. 中华医院管理杂志, 2021, 37(5): 385-388.
25.	吴自珍, 郑杰. 肿瘤多学科诊疗信息化平台的设计与实现. 电脑知识与技术, 2022, 18(20): 4-9.
26.	赵艳, 朱立峰. 瑞金医院多学科联合门诊(MDT)平台建设探索. 中国数字医学, 2018, 13(12): 68-71.
27.	孔勤, 徐新. 基于闭环管理的院内会诊流程优化设计与实现. 中国数字医学, 2017, 12(12): 15-17.
28.	朱卉, 蒋抒, 单清, 等. 基于移动互联网终端的多学科协作诊疗模式基础构思. 江苏卫生事业管理, 2020, 31(4): 479-481.
29.	贺嘉嘉, 李生, 王凯. MDT 智能医联体(区域诊治中心)建设探索与实践//中南六省(区)和港澳台三地医院院长高峰论坛论文汇编. 海口: 海南省医院协会, 2018: 10-12.
30.	魏惠燕, 潘红英, 黄晨, 等. 医院社区多学科联动慢性伤口居家护理云平台的构建及实施. 护理学杂志, 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. 孙湛, 杨丽, 邵雨婷, 等. 多学科诊疗模式现状分析与思考. 中国卫生质量管理, 2018, 25(6): 37-40.
2. 毛一晴, 康定鼎, 张博文, 等. 国内外多学科团队诊疗模式研究进展. 中国医院, 2022, 26(3): 18-21.
3. 郑雅卿, 吴舒婷, 林孟波. 基于 SWOT 分析法的三级医院多学科诊疗发展策略. 河南医学研究, 2021, 30(29): 5480-5483.
4. 曾茜, 许书培, 钟晓刚, 等. 广西某三级公立医院多学科诊疗模式的实践与探讨. 现代医院, 2020, 20(4): 527-530.
5. 梁苗苗, 刘雅, 安书杰, 等. 多学科联合会诊问题分析与改进. 中国卫生质量管理, 2022, 29(3): 40-42.
6. 吕艺芝, 杨坚, 陈郁明. 我国三级医院多学科协作诊疗模式开展现状调查分析. 中国医院, 2021, 25(2): 21-23.
7. 吴茜, 孙晓, 宋瑞梅, 等. 美国多学科协作模式管理与启示. 中国护理管理, 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, 徐静, 马楠, 等. 医院多学科诊疗的信息化管理体系构建. 中华医院管理杂志, 2019, 35(12): 999-1003.
17. 高慧, 孟力, 杨琳. 综合医院多学科会诊信息化工作模式实践. 中国卫生产业, 2022, 19(2): 169-172.
18. 姚刚, 王梁, 张晓祥, 等. 基于专科信息平台的联合门诊就诊流程优化. 中华医学图书情报杂志, 2019, 28(5): 77-80.
19. 陈露, 徐道亮, 居益君, 等. 门诊多学科协作诊疗信息平台构建与应用. 中国数字医学, 2017, 12(9): 53-55.
20. 徐敏. 全景医疗在医院多学科诊疗模式会诊中的创新应用. 医学信息, 2017, 30(24): 14-15.
21. 鲍瑞庆, 左民, 张秩儿, 等. 信息化支撑下的门诊多学科协作诊疗的优化运行研究. 中国医院, 2016, 20(7): 9-11.
22. 翁卫群, 储晓彬, 曹维炜, 等. 医院多学科联合诊疗门诊智能化管理平台的构建与应用. 江苏卫生事业管理, 2020, 31(7): 924-926, 942.
23. 郑雅卿, 吴晓琪, 林孟波, 等. 基于多学科诊疗信息平台的多学科诊疗效率提升实践. 中国医药科学, 2022, 17(12): 161-164.
24. 孟凡松, 徐晓庆, 宋吉祥, 等. 医院行政主导下网络化全覆盖多学科协作诊疗管理模式的建立与应用. 中华医院管理杂志, 2021, 37(5): 385-388.
25. 吴自珍, 郑杰. 肿瘤多学科诊疗信息化平台的设计与实现. 电脑知识与技术, 2022, 18(20): 4-9.
26. 赵艳, 朱立峰. 瑞金医院多学科联合门诊(MDT)平台建设探索. 中国数字医学, 2018, 13(12): 68-71.
27. 孔勤, 徐新. 基于闭环管理的院内会诊流程优化设计与实现. 中国数字医学, 2017, 12(12): 15-17.
28. 朱卉, 蒋抒, 单清, 等. 基于移动互联网终端的多学科协作诊疗模式基础构思. 江苏卫生事业管理, 2020, 31(4): 479-481.
29. 贺嘉嘉, 李生, 王凯. MDT 智能医联体(区域诊治中心)建设探索与实践//中南六省(区)和港澳台三地医院院长高峰论坛论文汇编. 海口: 海南省医院协会, 2018: 10-12.
30. 魏惠燕, 潘红英, 黄晨, 等. 医院社区多学科联动慢性伤口居家护理云平台的构建及实施. 护理学杂志, 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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