Barriers and enablers to the implementation of multidisciplinary team meetings: a qualitative study using the theoretical domains framework.
Ashika D Maharaj, Sue M Evans, John R Zalcberg, Liane J Ioannou, Marnie Graco, Daniel Croagh, Charles HC Pilgrim, Theresa Dodson, David Goldstein, Jennifer Philip, James G Kench, Neil D Merrett, Rachel E Neale, Kate White, Peter Evans, Trevor Leong, Sally E Green
BMJ Qual Saf | Published : 2021
BACKGROUND: Evidence-based clinical practice guidelines recommend discussion by a multidisciplinary team (MDT) to review and plan the management of patients for a variety of cancers. However, not all patients diagnosed with cancer are presented at an MDT. OBJECTIVES: (1) To identify the factors (barriers and enablers) influencing presentation of all patients to, and the perceived value of, MDT meetings in the management of patients with pancreatic cancer and; (2) to identify potential interventions that could overcome modifiable barriers and enhance enablers using the theoretical domains framework (TDF). METHODS: Semistructured interviews were conducted with radiologists, surgeons, medical a..View full abstract