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Health Professionals’ Views on Key Enabling Factors and Barriers of National Multidisciplinary Team Meetings in Cancer Care: A Qualitative Study

Authors Rosell L, Wihl J, Nilbert M, Malmström M

Received 26 November 2019

Accepted for publication 9 January 2020

Published 14 February 2020 Volume 2020:13 Pages 179—186


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Linn Rosell, 1, 2 Jessica Wihl, 1–3 Mef Nilbert, 2, 4, 5 Marlene Malmström 6, 7

1Regional Cancer Centre South, Region Skåne, Lund, Sweden; 2Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Lund, Sweden; 3Department of Oncology and Hematology, Skåne University Hospital, Lund, Sweden; 4Clinical Research Centre, Hvidovre Hospital and Copenhagen University, Copenhagen, Denmark; 5Danish Cancer Society Research Centre, Copenhagen, Denmark; 6The Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden; 7Lund University, Faculty of Medicine, Department of Health Sciences, Lund, Sweden

Correspondence: Marlene Malmström
Lund University, Department of Health Sciences, Box 157, Lund 22 100, Sweden
Tel +46 46 175950
Email [email protected]

Purpose: Multidisciplinary team meetings (MDTMs) are an integral component of cancer care. Increasingly, virtual MDTMs are used to grant high-quality treatment recommendations across health-care regions, which expands and develops the local MDTM team to a regional or national expert network. We investigated health professionals’ experiences from national, virtual MDTMs for rare cancer with a focus on key enabling factors and barriers.
Methods: Health professionals who participate in seven national, virtual MDTMs in Swedish health-care responded to a questionnaire exploring key enabling factors, barriers and opportunities for MDTM development. Conventional content analysis was used to identify thematic categories based on free-text responses.
Results: Participants´ perspectives could be assigned into three categories ie, a national arena with potential for comprehensive knowledge and collaboration, prerequisites for decision-making and organization and responsibilities. These categories consisted of nine sub-categories that referred to, eg, collective competence, resources, clinical research, case discussion, meeting climate, patient-related information, MDTMs potential, referral and technical insufficiencies.
Conclusion: National, virtual MDTMs represent a new multidisciplinary collaborative arena that introduces benefits as well as challenges. Consideration of key enabling factors and barriers may ease implementation and further optimize MDTMs in cancer care.

Keywords: tumor board, rare cancer, healthcare team, treatment recommendation, decision-making, content analysis

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under a Creative Commons Attribution License. The full terms of the License are available at The license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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