Research status and reflections on the quality evaluation of multi-disciplinary team at home and abroad_West China Medical Journal

Authors：

FENG Guowen , WANG Huanlin , XIANG Yang , HE Xuan , LI Qin ,  HE Qian

Multi-disciplinary Team Center for Complex and Severe Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

HE Qian, Email: 1290131935@qq.com

Keywords：

Multi-disciplinary team; medical quality; evaluation indicator; research hotspot

DOI：

10.7507/1002-0179.202502054

Video：

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As an important practice of collaborative medicine, multi-disciplinary team (MDT) plays a key role in improving the level of diagnosis and treatment of difficult and complex diseases. MDT quality evaluation is an important research content to promote the development of MDT model, which directly affects the effectiveness of diagnosis and treatment and patient experience. This paper systematically summarizes the relevant literature at home and abroad, focuses on MDT quality evaluation methods and tools, combs the dimensions and indicators of quality evaluation in different scenarios, and summarizes the common quality control laws in MDT practice. On this basis, combined with the characteristics and practical bottlenecks of China’s MDT model, this paper puts forward the key directions that should be paid attention to in the future MDT quality evaluation research, in order to provide theoretical references for the construction of MDT quality evaluation framework and promote the standardized development of MDT model.

1.	謝苗榮. 多學科診療模式在門診中的應用. 華西醫學, 2024, 39(1): 1-5.
2.	國家衛生健康委, 國家中醫藥局. 關于開展全面提升醫療質量行動(2023-2025 年)的通知. 中華人民共和國國家衛生健康委員會公報, 2023(5): 8-14.
3.	毛一晴, 康定鼎, 張博文, 等. 國內外多學科團隊診療模式研究進展. 中國醫院, 2022, 26(3): 18-21.
4.	Sublett CM. Adding to the evidence base: cancer patients’ perspectives on multidisciplinary team working: an exploratory focus group study. Urol Nurs, 2014, 34(2): 92-94.
5.	Gouliaev A, Berg J, Bibi R, et al. Multi-disciplinary team meetings for lung cancer in Norway and Denmark: results from national surveys and observations with MDT-MODe. Acta Oncol, 2024, 63: 678-684.
6.	何遠學, 郭玉娟, 韓麗珍. 綜合性醫院多學科協作會診精細化管理模式探討. 海南醫學, 2015, 26(21): 3250-3253.
7.	張慶玉, 王珊珊, 謝艷萍, 等. 三甲綜合醫院多學科診療模式實踐與探討. 醫院管理論壇, 2024, 41(12): 51-54.
8.	國家衛生和計劃生育委員會, 國家中醫藥局. 關于印發進一步改善醫療服務行動計劃(2018-2020 年)的通知. 中華人民共和國國家衛生和計劃生育委員會公報, 2017(12): 41-45.
9.	國家衛生健康委, 國家中醫藥局. 關于開展改善就醫感受提升患者體驗主題活動的通知. 中華人民共和國國家衛生健康委員會公報, 2023(5): 3-7.
10.	馬戈, 俞斌. 多類型門診多學科診療模式探索. 華西醫學, 2024, 39(1): 98-100.
11.	狄建忠, 李昆, 任慶貴, 等. 多學科團隊診療模式在臨床應用的研究進展. 中國醫院, 2016, 20(1): 79-80.
12.	喬佳敏, 張赫楠. 賦權增能視域下門診多學科協作診療服務質量提升策略研究. 中國衛生質量管理, 2024, 31(8): 30-33, 37.
13.	童延, 單銀娣, 周倩. 基于 CiteSpace 的我國多學科診療門診研究的可視化分析. 醫學信息, 2023, 36(18): 55-60.
14.	Brown GTF, Bekker HL, Young AL. Quality and efficacy of multidisciplinary team (MDT) quality assessment tools and discussion checklists: a systematic review. BMC Cancer, 2022, 22(1): 286.
15.	National Cancer Action Team. The characteristics of an effective multidisciplinary team (MDT). London: National Cancer Action Team, 2010.
16.	Lamb BW, Wong HW, Vincent C, et al. Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. BMJ Qual Saf, 2011, 20(10): 849-856.
17.	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.
18.	Lamb BW, Sevdalis N, Mostafid H, et al. Quality improvement in multidisciplinary cancer teams: an investigation of teamwork and clinical decision-making and cross-validation of assessments. Ann Surg Oncol, 2011, 18(13): 3535-3543.
19.	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.
20.	Taylor C, Brown K, Lamb B, et al. Developing and testing TEAM (team evaluation and assessment measure), a self-assessment tool to improve cancer multidisciplinary teamwork. Ann Surg Oncol, 2012, 19(13): 4019-4027.
21.	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.
22.	Jalil R, Akhter W, Lamb BW, et al. Validation of team performance assessment of multidisciplinary tumor boards. J Urol, 2014, 192(3): 891-898.
23.	Harris J, Green JS, Sevdalis N, et al. Using peer observers to assess the quality of cancer multidisciplinary team meetings: a qualitative proof of concept study. J Multidiscip Healthc, 2014, 7: 355-363.
24.	Soukup T, Lamb BW, Sarkar S, et al. Predictors of treatment decisions in multidisciplinary oncology meetings: a quantitative observational study. Ann Surg Oncol, 2016, 23(13): 4410-4417.
25.	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.
26.	Nemesure B, Albano D, Bilfinger T. Lung cancer recurrence and mortality outcomes over a 10-year period using a multidisciplinary team approach. Cancer Epidemiol, 2020, 68: 101804.
27.	Stalfors J, Lundberg C, Westin T. Quality assessment of a multidisciplinary tumour meeting for patients with head and neck cancer. Acta Otolaryngol, 2007, 127(1): 82-87.
28.	Kurpad R, Kim W, Rathmell WK, et al. A multidisciplinary approach to the management of urologic malignancies: does it influence diagnostic and treatment decisions?. Urol Oncol, 2011, 29(4): 378-382.
29.	Fukuoka H, Shigemura K, Kanzawa M, et al. The impact of adrenal tumor multidisciplinary team meetings on clinical outcomes. Endocrine, 2020, 69(3): 519-525.
30.	Ferman M, Lim AH, Hossain M, et al. Multidisciplinary team meetings appear to be effective in inflammatory bowel disease management: an audit of process and outcomes. Intern Med J, 2018, 48(9): 1102-1108.
31.	McKinney RL, Schmidhoefer JJ, Balasco AL, et al. Severe bronchopulmonary dysplasia: outcomes before and after the implementation of an inpatient multidisciplinary team. J Perinatol, 2021, 41(3): 544-550.
32.	Musuuza J, Sutherland BL, Kurter S, et al. A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers. J Vasc Surg, 2020, 71(4): 1433-1446.
33.	Campsen J, Pan G, Quencer K, et al. Renal auto-transplantation for loin pain hematuria syndrome using a multidisciplinary team model: intermediate-term results. Cureus, 2020, 12(12): e12379.
34.	Essa H, Walker L, Mohee K, et al. Multispecialty multidisciplinary input into comorbidities along with treatment optimisation in heart failure reduces hospitalisation and clinic attendance. Open Heart, 2022, 9(2): e001979.
35.	Shao J, Rodrigues M, Corter AL, et al. Multidisciplinary care of breast cancer patients: a scoping review of multidisciplinary styles, processes, and outcomes. Curr Oncol, 2019, 26(3): e385-e397.
36.	Price D, Howard M, Dolovich L, et al. Practice-based collection of quality indicator data for a comprehensive quality assessment programme in Canadian family practices. Qual Saf Health Care, 2010, 19(6): e47.
37.	吳卓群, 宓軼群, 李維維. 大型綜合性醫院開展整合門診績效評估的初步探索. 中國醫院, 2016, 20(7): 6-8.
38.	喻文菡. 腫瘤 MDT 團隊建設與運行過程評價及改進策略研究. 武漢: 華中科技大學, 2018.
39.	王瑩, 劉新亞, 劉翔, 等. 應用 TOPSIS 法綜合評價腫瘤多學科首席專家團隊的醫療工作質量. 中國腫瘤, 2018, 27(12): 898-903.
40.	李賢華, 宋婷, 趙子衿, 等. 上海市醫院多學科協作診療績效評價體系構建. 中國醫院管理, 2019, 39(11): 29-31, 35.
41.	毛一晴, 馬文杰, 張博文, 等. 基于多案例編碼的腫瘤 MDT 模式質量評價指標體系構建研究. 中國醫院管理, 2024, 44(7): 36-41.
42.	鄒曉琦, 于宏, 彭蔚, 等. 基于德爾菲法構建多學科診療質量評價指標體系. 現代醫院, 2025, 25(1): 68-71.

1. 謝苗榮. 多學科診療模式在門診中的應用. 華西醫學, 2024, 39(1): 1-5.
2. 國家衛生健康委, 國家中醫藥局. 關于開展全面提升醫療質量行動(2023-2025 年)的通知. 中華人民共和國國家衛生健康委員會公報, 2023(5): 8-14.
3. 毛一晴, 康定鼎, 張博文, 等. 國內外多學科團隊診療模式研究進展. 中國醫院, 2022, 26(3): 18-21.
4. Sublett CM. Adding to the evidence base: cancer patients’ perspectives on multidisciplinary team working: an exploratory focus group study. Urol Nurs, 2014, 34(2): 92-94.
5. Gouliaev A, Berg J, Bibi R, et al. Multi-disciplinary team meetings for lung cancer in Norway and Denmark: results from national surveys and observations with MDT-MODe. Acta Oncol, 2024, 63: 678-684.
6. 何遠學, 郭玉娟, 韓麗珍. 綜合性醫院多學科協作會診精細化管理模式探討. 海南醫學, 2015, 26(21): 3250-3253.
7. 張慶玉, 王珊珊, 謝艷萍, 等. 三甲綜合醫院多學科診療模式實踐與探討. 醫院管理論壇, 2024, 41(12): 51-54.
8. 國家衛生和計劃生育委員會, 國家中醫藥局. 關于印發進一步改善醫療服務行動計劃(2018-2020 年)的通知. 中華人民共和國國家衛生和計劃生育委員會公報, 2017(12): 41-45.
9. 國家衛生健康委, 國家中醫藥局. 關于開展改善就醫感受提升患者體驗主題活動的通知. 中華人民共和國國家衛生健康委員會公報, 2023(5): 3-7.
10. 馬戈, 俞斌. 多類型門診多學科診療模式探索. 華西醫學, 2024, 39(1): 98-100.
11. 狄建忠, 李昆, 任慶貴, 等. 多學科團隊診療模式在臨床應用的研究進展. 中國醫院, 2016, 20(1): 79-80.
12. 喬佳敏, 張赫楠. 賦權增能視域下門診多學科協作診療服務質量提升策略研究. 中國衛生質量管理, 2024, 31(8): 30-33, 37.
13. 童延, 單銀娣, 周倩. 基于 CiteSpace 的我國多學科診療門診研究的可視化分析. 醫學信息, 2023, 36(18): 55-60.
14. Brown GTF, Bekker HL, Young AL. Quality and efficacy of multidisciplinary team (MDT) quality assessment tools and discussion checklists: a systematic review. BMC Cancer, 2022, 22(1): 286.
15. National Cancer Action Team. The characteristics of an effective multidisciplinary team (MDT). London: National Cancer Action Team, 2010.
16. Lamb BW, Wong HW, Vincent C, et al. Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. BMJ Qual Saf, 2011, 20(10): 849-856.
17. 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.
18. Lamb BW, Sevdalis N, Mostafid H, et al. Quality improvement in multidisciplinary cancer teams: an investigation of teamwork and clinical decision-making and cross-validation of assessments. Ann Surg Oncol, 2011, 18(13): 3535-3543.
19. 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.
20. Taylor C, Brown K, Lamb B, et al. Developing and testing TEAM (team evaluation and assessment measure), a self-assessment tool to improve cancer multidisciplinary teamwork. Ann Surg Oncol, 2012, 19(13): 4019-4027.
21. 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.
22. Jalil R, Akhter W, Lamb BW, et al. Validation of team performance assessment of multidisciplinary tumor boards. J Urol, 2014, 192(3): 891-898.
23. Harris J, Green JS, Sevdalis N, et al. Using peer observers to assess the quality of cancer multidisciplinary team meetings: a qualitative proof of concept study. J Multidiscip Healthc, 2014, 7: 355-363.
24. Soukup T, Lamb BW, Sarkar S, et al. Predictors of treatment decisions in multidisciplinary oncology meetings: a quantitative observational study. Ann Surg Oncol, 2016, 23(13): 4410-4417.
25. 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.
26. Nemesure B, Albano D, Bilfinger T. Lung cancer recurrence and mortality outcomes over a 10-year period using a multidisciplinary team approach. Cancer Epidemiol, 2020, 68: 101804.
27. Stalfors J, Lundberg C, Westin T. Quality assessment of a multidisciplinary tumour meeting for patients with head and neck cancer. Acta Otolaryngol, 2007, 127(1): 82-87.
28. Kurpad R, Kim W, Rathmell WK, et al. A multidisciplinary approach to the management of urologic malignancies: does it influence diagnostic and treatment decisions?. Urol Oncol, 2011, 29(4): 378-382.
29. Fukuoka H, Shigemura K, Kanzawa M, et al. The impact of adrenal tumor multidisciplinary team meetings on clinical outcomes. Endocrine, 2020, 69(3): 519-525.
30. Ferman M, Lim AH, Hossain M, et al. Multidisciplinary team meetings appear to be effective in inflammatory bowel disease management: an audit of process and outcomes. Intern Med J, 2018, 48(9): 1102-1108.
31. McKinney RL, Schmidhoefer JJ, Balasco AL, et al. Severe bronchopulmonary dysplasia: outcomes before and after the implementation of an inpatient multidisciplinary team. J Perinatol, 2021, 41(3): 544-550.
32. Musuuza J, Sutherland BL, Kurter S, et al. A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers. J Vasc Surg, 2020, 71(4): 1433-1446.
33. Campsen J, Pan G, Quencer K, et al. Renal auto-transplantation for loin pain hematuria syndrome using a multidisciplinary team model: intermediate-term results. Cureus, 2020, 12(12): e12379.
34. Essa H, Walker L, Mohee K, et al. Multispecialty multidisciplinary input into comorbidities along with treatment optimisation in heart failure reduces hospitalisation and clinic attendance. Open Heart, 2022, 9(2): e001979.
35. Shao J, Rodrigues M, Corter AL, et al. Multidisciplinary care of breast cancer patients: a scoping review of multidisciplinary styles, processes, and outcomes. Curr Oncol, 2019, 26(3): e385-e397.
36. Price D, Howard M, Dolovich L, et al. Practice-based collection of quality indicator data for a comprehensive quality assessment programme in Canadian family practices. Qual Saf Health Care, 2010, 19(6): e47.
37. 吳卓群, 宓軼群, 李維維. 大型綜合性醫院開展整合門診績效評估的初步探索. 中國醫院, 2016, 20(7): 6-8.
38. 喻文菡. 腫瘤 MDT 團隊建設與運行過程評價及改進策略研究. 武漢: 華中科技大學, 2018.
39. 王瑩, 劉新亞, 劉翔, 等. 應用 TOPSIS 法綜合評價腫瘤多學科首席專家團隊的醫療工作質量. 中國腫瘤, 2018, 27(12): 898-903.
40. 李賢華, 宋婷, 趙子衿, 等. 上海市醫院多學科協作診療績效評價體系構建. 中國醫院管理, 2019, 39(11): 29-31, 35.
41. 毛一晴, 馬文杰, 張博文, 等. 基于多案例編碼的腫瘤 MDT 模式質量評價指標體系構建研究. 中國醫院管理, 2024, 44(7): 36-41.
42. 鄒曉琦, 于宏, 彭蔚, 等. 基于德爾菲法構建多學科診療質量評價指標體系. 現代醫院, 2025, 25(1): 68-71.

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Latest ArticlesResearch status and reflections on the quality evaluation of multi-disciplinary team at home and abroad

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