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Investigating the system effect of reporting multidisciplinary care measures for cancer services in New South Wales, Australia

BACKGROUND: Multidisciplinary cancer care to facilitate the provision of patient centred and evidence-based care is considered best practice internationally. In 2016 multidisciplinary care measures were developed for all local health districts across NSW. The aim of this study was to identify system...

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Autores principales: White, Kahren M., Kwedza, Ru K., Seale, Holly, Harrison, Reema
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8487574/
https://www.ncbi.nlm.nih.gov/pubmed/34600507
http://dx.doi.org/10.1186/s12913-021-07050-7
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author White, Kahren M.
Kwedza, Ru K.
Seale, Holly
Harrison, Reema
author_facet White, Kahren M.
Kwedza, Ru K.
Seale, Holly
Harrison, Reema
author_sort White, Kahren M.
collection PubMed
description BACKGROUND: Multidisciplinary cancer care to facilitate the provision of patient centred and evidence-based care is considered best practice internationally. In 2016 multidisciplinary care measures were developed for all local health districts across NSW. The aim of this study was to identify system-level changes and quality improvement activities across the NSW cancer system linked to reporting on these measures. METHODS: Focus group discussions were used to generate a synergy of ideas from key stakeholders. An exploratory descriptive approach was used within the ontological position of Framework Analysis, the analysis method chosen for this research study, sitting most closely within pragmatism. The use of Framework Analysis in the analytic strategy is because it is well-suited to addressing policy issues and maintaining specific focus within a wider dataset. RESULTS: Two focus groups were held with a total of 18 purposively selected participants. Four primary themes emerged: value of electronic documentation; role clarity; relationships; and future development of measures. Key findings included that the reporting of performance measures has expedited the development of electronic documentation and data extraction from the multidisciplinary team meeting (MDT), identified barriers and facilitators to MDT data collection and supported MDT improvement activities across NSW. CONCLUSIONS: The findings of this study have highlighted that MDTs and their meetings across NSW are harnessing technological advancements to support and further develop their MDTs, as well as the challenges of implementing new processes within the MDTM. This study adds a unique contribution to knowledge of how the reporting of measures can assist in understanding variation in the development and implementation of multidisciplinary teams, as well as highlighting future programs of work to decrease variation in multidisciplinary team meetings and quality improvement activities. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-07050-7.
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spelling pubmed-84875742021-10-04 Investigating the system effect of reporting multidisciplinary care measures for cancer services in New South Wales, Australia White, Kahren M. Kwedza, Ru K. Seale, Holly Harrison, Reema BMC Health Serv Res Research Article BACKGROUND: Multidisciplinary cancer care to facilitate the provision of patient centred and evidence-based care is considered best practice internationally. In 2016 multidisciplinary care measures were developed for all local health districts across NSW. The aim of this study was to identify system-level changes and quality improvement activities across the NSW cancer system linked to reporting on these measures. METHODS: Focus group discussions were used to generate a synergy of ideas from key stakeholders. An exploratory descriptive approach was used within the ontological position of Framework Analysis, the analysis method chosen for this research study, sitting most closely within pragmatism. The use of Framework Analysis in the analytic strategy is because it is well-suited to addressing policy issues and maintaining specific focus within a wider dataset. RESULTS: Two focus groups were held with a total of 18 purposively selected participants. Four primary themes emerged: value of electronic documentation; role clarity; relationships; and future development of measures. Key findings included that the reporting of performance measures has expedited the development of electronic documentation and data extraction from the multidisciplinary team meeting (MDT), identified barriers and facilitators to MDT data collection and supported MDT improvement activities across NSW. CONCLUSIONS: The findings of this study have highlighted that MDTs and their meetings across NSW are harnessing technological advancements to support and further develop their MDTs, as well as the challenges of implementing new processes within the MDTM. This study adds a unique contribution to knowledge of how the reporting of measures can assist in understanding variation in the development and implementation of multidisciplinary teams, as well as highlighting future programs of work to decrease variation in multidisciplinary team meetings and quality improvement activities. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-07050-7. BioMed Central 2021-10-02 /pmc/articles/PMC8487574/ /pubmed/34600507 http://dx.doi.org/10.1186/s12913-021-07050-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
White, Kahren M.
Kwedza, Ru K.
Seale, Holly
Harrison, Reema
Investigating the system effect of reporting multidisciplinary care measures for cancer services in New South Wales, Australia
title Investigating the system effect of reporting multidisciplinary care measures for cancer services in New South Wales, Australia
title_full Investigating the system effect of reporting multidisciplinary care measures for cancer services in New South Wales, Australia
title_fullStr Investigating the system effect of reporting multidisciplinary care measures for cancer services in New South Wales, Australia
title_full_unstemmed Investigating the system effect of reporting multidisciplinary care measures for cancer services in New South Wales, Australia
title_short Investigating the system effect of reporting multidisciplinary care measures for cancer services in New South Wales, Australia
title_sort investigating the system effect of reporting multidisciplinary care measures for cancer services in new south wales, australia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8487574/
https://www.ncbi.nlm.nih.gov/pubmed/34600507
http://dx.doi.org/10.1186/s12913-021-07050-7
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