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Table 3 Models of co-operation in multidisciplinary cancer care

From: Multidisciplinary cancer care in Spain, or when the function creates the organ: qualitative interview study

  1. Advisory committee 2. Formal co-adaptation 3. Integrated care process
Cases submitted (approx. %) "Complex" cases or off-protocol: 10% - 50% All "possible" cases: 50% - 80% Initial source of clinical assessment: 90%-100%
Patient access to team Treatment (whether or not initiated) Diagnosis or treatment Suspect or diagnosis (early access)
Nature of agreements Recommendations Consensus decisions not always implemented Binding decisions defended by the team
Professional team roles Negative perception Chair, tumour board co-ordinator Chair, co-ordinator, nurse case manager
Impact on clinical process management Minor changes Some segments of care Whole process (cross-boundary frequent)
Specialist participation No diagnostic specialisations Absences due only to timetable problems Professionals associated with a clinical committee
Junior doctors and nursing role, in terms of attendance Considered inappropriate Open meeting, participation encouraged Mandatory presence
Hospital executive board role Lack of interest Acknowledgement without express support Express support (room, clerk, etc.)
Presence in health system 40% 50% 10%