10.26686/wgtn.12692354.v1
Kevin Dew
Kevin
Dew
M Stubbe
M
Stubbe
L Signal
L
Signal
J Stairmand
J
Stairmand
E Dennett
E
Dennett
J Koea
J
Koea
A Simpson
A
Simpson
D Sarfati
D
Sarfati
C Cunningham
C
Cunningham
L Batten
L
Batten
L Ellison-Loschmann
L
Ellison-Loschmann
J Barton
J
Barton
M Holdaway
M
Holdaway
Cancer Care Decision Making in Multidisciplinary Meetings
Open Access Te Herenga Waka-Victoria University of Wellington
2020
cancer
decision making
health care
teamwork
observation
research
qualitative
Health services & systems
Cancer
health care, teamwork
research, qualitative
Clinical Decision-Making
Group Processes
Humans
Interdisciplinary Communication
Neoplasms
New Zealand
Patient Care Team
Qualitative Research
Science & Technology
Social Sciences
Technology
Information Science & Library Science
Social Sciences, Interdisciplinary
Social Sciences, Biomedical
Social Sciences - Other Topics
Biomedical Social Sciences
INTERDISCIPLINARY TEAM MEETINGS
PALLIATIVE CARE
COLON-CANCER
HOSPICE
MANAGEMENT
HEALTH
TALK
Nursing
Public Health and Health Services
Medical and Health Sciences
Studies in Human Society
Psychology and Cognitive Sciences
2020-07-22 22:04:31
Journal contribution
https://openaccess.wgtn.ac.nz/articles/journal_contribution/Cancer_Care_Decision_Making_in_Multidisciplinary_Meetings/12692354
© The Author(s) 2014. Little research has been undertaken on the actual decision-making processes in cancer care multidisciplinary meetings (MDMs). This article was based on a qualitative observational study of two regional cancer treatment centers in New Zealand. We audiorecorded 10 meetings in which 106 patient cases were discussed. Members of the meetings categorized cases in varying ways, drew on a range of sources of authority, expressed different value positions, and utilized a variety of strategies to justify their actions. An important dimension of authority was encountered authority - the authority a clinician has because of meeting the patient. The MDM chairperson can play an important role in making explicit the sources of authority being drawn on and the value positions of members to provide more clarity to the decision-making process. Attending to issues of process, authority, and values in MDMs has the potential to improve cancer care decision making and ultimately, health outcomes.