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Overcoming obstacles to establish a multidisciplinary team approach to hepatobiliary diseases: a working model in a Caribbean setting

Authors Cawich SO, Johnson PB, Shah S, Roberts P, Arthurs M, Murphy T, Bonadie KO, Crandon IW, Harding HE, Abu Hilal M, Pearce NW

Received 13 January 2014

Accepted for publication 20 February 2014

Published 28 May 2014 Volume 2014:7 Pages 227—230

DOI https://doi.org/10.2147/JMDH.S60604

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Shamir O Cawich,1 Peter B Johnson,2 Sundeep Shah,2 Patrick Roberts,2 Milton Arthurs,2 Trevor Murphy,2 Kimon O Bonadie,2 Ivor W Crandon,1 Hyacinth E Harding,1 Mohammed Abu Hilal,3 Neil W Pearce3

1Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago; 2Faculty of Medical Sciences, University of the West Indies, Mona Campus, Kingston, Jamaica; 3University Surgical Unit, Southampton General Hospital, Southampton, United Kingdom

Introduction: By providing a structured forum to exchange information and ideas, multidisciplinary team meetings improve working relationships, expedite investigations, promote evidence-based treatment, and ultimately improve clinical outcomes.
Methods: This discursive paper reports the introduction of a multidisciplinary team approach to manage hepatobiliary diseases in Jamaica, focusing on the challenges encountered and the methods used to overcome these obstacles.
Conclusion: Despite multiple challenges in resource-limited environments, a multidisciplinary team approach can be incorporated into clinical practice in developing nations. Policy makers should make it a priority to support clinical, operational, and governance aspects of the multidisciplinary teams.

Keywords: decision-making, cancer, health care policy



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