MDM paper for QHR accepted final version.pdf (251.69 kB)

Cancer Care Decision Making in Multidisciplinary Meetings

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journal contribution
posted on 22.07.2020 by Kevin Dew, M Stubbe, L Signal, J Stairmand, E Dennett, J Koea, A Simpson, D Sarfati, C Cunningham, L Batten, L Ellison-Loschmann, J Barton, M Holdaway
© 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.

History

Preferred citation

Dew, K., Stubbe, M., Signal, L., Stairmand, J., Dennett, E., Koea, J., Simpson, A., Sarfati, D., Cunningham, C., Batten, L., Ellison-Loschmann, L., Barton, J. & Holdaway, M. (2015). Cancer Care Decision Making in Multidisciplinary Meetings. Qualitative Health Research, 25(3), 397-407. https://doi.org/10.1177/1049732314553010

Journal title

Qualitative Health Research

Volume

25

Issue

3

Publication date

01/03/2015

Pagination

397-407

Publisher

SAGE Publications

Publication status

Published

Contribution type

Article

Online publication date

03/10/2014

ISSN

1049-7323

eISSN

1552-7557

Language

en

Exports