药剂师对结构,决策和沟通实践的多学科癌症团队在阿拉巴马州的观点。

Innovations in Pharmacy Pub Date : 2022-04-02 eCollection Date: 2022-01-01 DOI:10.24926/iip.v13i1.4298
Gnagna-Waka Moano, Georges Adunlin, Katie Boyd, Patricia Jumbo-Lucioni, Bolanle Bolaji, Matthew Asare
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引用次数: 0

摘要

导读:由于诊断和治疗的复杂性日益增加,在癌症护理环境中越来越多地采用多学科团队(MDT)方法来改善患者的预后。本研究旨在探讨药师对癌症mdt的结构、决策过程和沟通实践的看法。方法:向阿拉巴马州肿瘤学相关临床药师发放25项在线问卷。数据分析采用描述性统计。结果:共15名药师完成调查。超过一半的受访者报告说,MDT会议大多是按照固定的时间表亲自举行的。虽然医生主要为会议提供便利,但患者和/或他们的护理人员基本上没有被邀请参加会议。在MDT会议后,主治医师负责向患者和/或其护理人员交付和更新信息。大多数应答者指出,正电子发射和计算机断层扫描是最常见的信息来源,可在最初的病例介绍。总体而言,答复者强烈同意,他们在MDT会议期间与其他卫生专业人员分享意见感到自在。结论:本研究提供了肿瘤药师参与MDT决策过程和沟通的证据,但建议需要促进条件以进一步促进他们的参与。
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Perspectives of Pharmacists on the Structure, Decision-Making, and Communication Practices of Multidisciplinary Cancer Teams in Alabama.

Introduction: A multidisciplinary team (MDT) approach within cancer care settings is increasingly being adopted to improve patient outcomes due to the rising complexity of diagnosis and treatment. This study aims to explore the perspective of pharmacists on the structure, decision-making process, and communication practices of cancer MDTs. Methods: A 25-item online questionnaire was distributed to oncology-related clinical pharmacists in Alabama. Data were analyzed using descriptive statistics. Results: A total of 15 pharmacists completed the survey. More than half of the respondents reported that MDT meetings were held mostly in person on a set schedule. While physicians primarily facilitated the meetings, patients and/or their caregivers were largely not invited to participate in them. The treating physician oversaw delivering and update to the patient and/or their caregivers after the MDT meetings. Most respondents indicated that positron emission and computed tomography were the most common sources of information available at initial case presentations. Overall, respondents strongly agreed that they felt comfortable sharing their opinions with others health professionals during MDT meetings. Conclusions: This study provides evidence that oncology pharmacists are involved in MDT decision-making processes and communications but suggests the need to promote conditions to further their participation.

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