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3 . 2022

ORGANIZATIONAL ASPECTS OF MULTIDISCIPLINARY TEAMS: QUALITY STANDARDS, EFFICIENCY AND IMPLEMENTATION IN PRACTICE

Abstract

The multidisciplinary approach is considered to be the gold standard in clinical decision-making and can be implemented at the organizational level as a multidisciplinary team, or at the functional level – as a clinical decision-making process. In Russia, there is no practice of assessing the quality and effectiveness of multidisciplinary teams, which requires familiarization with existing approaches to its assessment, and determining the necessary competencies of specialists.

The aim – to describe the existing approaches to assessing the quality and effectiveness of multidisciplinary teams, to provide recommendations on their implementation in local clinical practice and education.

Material and methods included the historical method, analysis of regulatory information, content analysis of literature.

Results. In Russia, the need for a multidisciplinary approach is fixed in the procedures for providing medical care and is implemented at the functional level. There are seven standards for evaluating the quality of MDT, of which TEAM is the most comprehensive. The most significant factors for the success of multidisciplinary teams are the group work of its members and organizational culture, the implementation of patient–centered principles and the clinical decision-making process, which comprehensively takes into account various aspects of medical care – clinical outcome and possible complications, tariffs within the medical insurance system, hospital expenses and available resources, individual preferences of the patient.

Conclusion. Healthcare managers should be aware of the importance of assessing the quality and effectiveness of MDT work and implement appropriate assessment standards in practice. Within the framework of continuous medical education programs, special attention should be paid to the development of «soft» skills among medical specialists – teamwork, patient-centricity, organizational behavior.

Keywords:evidence-based management; value-based healthcare; personnel management system; continuous medical education; multi-disciplinary team; clinical management; clinical governance

Funding. The study had no sponsor support.

Conflict of interest. The author declares no conflict of interest.

For citation: Zuenkova Yu.A. Organizational aspects of multidisciplinary teams: quality standards, efficiency and implementation in practice. Meditsinskoe obrazovanie i professional’noe razvitie [Medical Education and Professional Development]. 2022; 13 (3): 32–41. DOI: https://doi.org/10.33029/2220-8453-2022-13-3-32-41 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Balkizov Zalim Zamirovich
Professor of the Department of Professional Education and Educational Technologies, Associate Professor of the Department of Hospital Surgery of the N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, member of the Coordinating Council for Personnel Policy of the Ministry of Health of the Russian Federation, Adviser to the President of the National Medical Chamber, Executive Secretary of the Commission for Accreditation of Continuing Medical Education Events in the National Medical Chamber, Secretary General of the Russian Society of Medical Specialists General Representative of the Association for Medical Education in Europe, General Director of GEOTAR-Med
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