Work

A Dual‐Perspective Comparison of Classical and Clinic‐Based Multidisciplinary Team Models in Cancer Care: A Cross‐Sectional and Qualitative Study

Year: 2026

Type: article

Abstract: ABSTRACT Background and Aims Multidisciplinary teams (MDTs) represent a key trend in global cancer care. This study aims to discuss the applicability and benefits of two MDT models in a Chinese tertiary cancer hospital, the classical MDT consultation meeting model and the MDT clinic model, regarding process and efficiency, physicians' preferences, and patients' satisfaction. Methods We conducted a user‐side cross‐sectional survey among patients in MDT clinics ( n = 520) and consultation meetings ( n = 123) via convenience sampling. The survey captured basic information, treatment results, and satisfaction (5‐point Likert scale). On the provider side, semistructured interviews were conducted among 28 physicians on MDTs, focusing on the team's working mode and communication style. Results Since 2005, the hospital has established 15 MDTs. The classical model, operating on a fixed schedule, is valued by physicians for educating young staff. Since 2020, MDT clinics in 8 disciplines have streamlined the appointment process and involved patients directly in discussions. The majority of physicians (25/28) affirmed that this model has improved the efficiency of developing diagnostic and treatment plans. The overall satisfaction of patients with the MDT clinic was (4.66 ± 0.54), which was higher than their satisfaction with the classical MDT model (4.53 ± 0.53). In the MDT clinic model, non‐local patients reported greater satisfaction (4.68 ± 0.58) than did local patients (4.65 ± 0.53), while the opposite was true of the classical MDT model. Patients with more complex tumor types ( F = 2.35), longer wait times ( F = 9.53), or no clear treatment plan ( t = 9.49) reported lower satisfaction with both models ( p < 0.05). Conclusion For regional hubs featuring the necessary resources, the establishment of a multidisciplinary clinic model for diagnosis and treatment is strongly encouraged. The classical MDT meeting is indispensable for complex case deliberation and physician training, while the multidisciplinary clinic model can be utilized to enhance patient‐centered care and satisfaction.

Source: Health Science Reports

DOI: 10.1002/hsr2.71787

Authors: Mengying Li, Leihua Chen, Yanbing Liu, Xiaoying Jiang

Institutions: Shanghai Medical College of Fudan University, Fudan University, Fudan University Shanghai Cancer Center

Language: English

Topic: Interprofessional Education and Collaboration

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,280