Role of Telemedicine in Multidisciplinary Team Meetings

Aghdam, Mohammad Reza F.; Vodovnik, Aleksandar; Hameed, Rania Adel

doi:10.4103/jpi.jpi_20_19

Cited by 55 publications

(46 citation statements)

References 28 publications

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“…Multi-disciplinary team (MDT) meetings form the core of patient care in the UK and consist of specialists of diverse medical backgrounds and roles providing their expert opinions on specific patient management [8]. With the guidelines to avoid gatherings necessary to prevent transmission during the active COVID pandemic, MDTs have had to resort to alternative strategies to ensure that critical patient care is not affected, while continuing to ensure protection of the HCP community.…”

Section: Introductionmentioning

confidence: 99%

COVID-19: the impetus for change—sustaining healthcare team communication in times of social distancing

2020

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The COVID-19 pandemic has challenged existing healthcare systems and has made prevention of healthcare personnel exposure a high priority. Essential healthcare services, including multidisciplinary team (MDT) meetings that make medical decisions, are expected to continue uninterrupted in this time of social distancing. There are a multitude of virtual platforms available to enable remote MDT meetings, and the pandemic has accelerated their arrival into daily healthcare practice. While we deal with a pandemic crisis, we have comprehensively reviewed and reported on the popular platforms and services available for this purpose. While each platform has its own unique features and drawbacks, it is essential to liaise with information technology departments and data governance teams to understand the optimal platforms for use within each healthcare setting. Level of evidence: Not ratable

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Section: Introductionmentioning

confidence: 99%

COVID-19: the impetus for change—sustaining healthcare team communication in times of social distancing

2020

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“…Remote intra‐ or interhospital multidisciplinary meetings can take many shapes and forms, from the classic once‐a‐week meetings 18 to urgent ad‐hoc discussions of individual patients. Remote interdepartmental consultations or multidisciplinary meetings (which may include broad multipatient discussions or specific expert consultations between national subject experts) have been recently reviewed 19 . A total of 33 studies reported the professional, financial and health benefits of multidisciplinary team meetings via telemedicine.…”

Section: Hierarchy Of Connectivity Toolsmentioning

confidence: 99%

Low‐contact and high‐interconnectivity pathology (LC&HI Path): post‐COVID19‐pandemic practice of pathology

Arends

Salto-Tellez

2020

Histopathology

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Low-contact and high-interconnectivity pathology (LC&HI Path): post-COVID19-pandemic practice of pathology The COVID-19 pandemic situation may be viewed as an opportunity to accelerate some of the ongoing transformations in modern pathology. This refers primarily to the digitalisation of the practice of tissue and cellular pathology diagnostics. However, it is also an opportunity to analyse the modus operandi of a discipline that has been practised in a similar manner for more than 100 years. The challenge is to define the next generation of interconnectivity tools that would be necessary to achieve a new operational model that, while ensuring low face-to-face interaction between the main players of the diagnostic pipeline, allows maximum interconnectivity to serve our patients and the immediate teaching and research needs associated with clinical tissue/cellular samples. This viewpoint aims to describe what this new paradigm, a low-contact and high-interconnectivity pathology (LC&HC Path) operation, may require in the near future.

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“… 36 In addition, the use of telemedicine has improved the use of MDT meetings in diverse clinical settings, with benefits for all key healthcare elements, that is, for patients, healthcare professionals, hospital and the state, in terms of quality of care, costs, accessibility, organisation and acceptability. 37 Telemedicine is particularly useful to link specialist teams for whom distance is a barrier, or to create closer relationships between primary, secondary and tertiary healthcare and patients. It has been applied in various specialties, especially in oncology and dermatology, but also in cardiology, neurology, nutritional medicine, psychology and psychiatry, pharmacology and orthopaedics.…”

Section: Characteristics Of MD Working In Spa Studiesmentioning

confidence: 99%

“…It has been applied in various specialties, especially in oncology and dermatology, but also in cardiology, neurology, nutritional medicine, psychology and psychiatry, pharmacology and orthopaedics. 37 In rheumatology, the video-conferencing MDT model has been successfully implemented in rare autoimmune diseases: the Eastern Network for Rare Autoimmune Disease (ENRAD) meetings developed at Addenbrooke’s Hospital in Cambridge, UK has been awarded the Best Practice Award 2018 by the British Society of Rheumatology. 35 The ENRAD scheme provides dial-in conferences for health professionals to be able to discuss cases centrally with various relevant specialists whilst still treating patients locally, and subsequently improving patient care (diagnosis, treatment time) and costs (time, money, resources).…”

Section: Characteristics Of MD Working In Spa Studiesmentioning

confidence: 99%

Multidisciplinary working in the management of axial and peripheral spondyloarthritis

Gudu

Jadon

2020

Therapeutic Advances in Musculoskeletal

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Multidisciplinary (MD) care is essential in the management of patients with spondyloarthritis (SpA) and is one of the main pillars of disease management and patient care. However, evidence supporting the effectiveness and benefits of this strategy in SpA is scarce. In this review we discuss the three types of MD care models: (i) combined clinics (MD units), including ‘face to face’, ‘parallel’ and ‘circuit approach’ clinics; (ii) MD team meetings; (iii) group consultations. The most frequently used model in SpA studies has been the ‘parallel’ combined clinic and usually encompasses a rheumatologist and another specialist, most commonly a dermatologist or a gastroenterologist, that work in tandem according to predefined referral criteria and treatment algorithms. MD working seems to improve the care of patients with SpA by a better identification and diagnosis of the disease, an earlier and more comprehensive treatment approach, and better outcomes for patients in terms of disease activity, physical function, quality of life and patient satisfaction. Nevertheless, challenges remain. Data on effectiveness and feasibility are scarce and are mostly derived from studies with design issues and often without a unidisciplinary care comparator arm. Although patient centricity is one of the core values of patient care and MD setting in SpA, the patient often does not play an active role in most of the MD settings studied or in common clinical practice. Further efforts should be made so that MD care reflects patients’ expectations and needs. Overcoming these limits will help to implement successfully SpA MD care in daily clinical practice and subsequently to achieve a higher quality of care for our patients.

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Role of Telemedicine in Multidisciplinary Team Meetings

Cited by 55 publications

References 28 publications

COVID-19: the impetus for change—sustaining healthcare team communication in times of social distancing

COVID-19: the impetus for change—sustaining healthcare team communication in times of social distancing

Low‐contact and high‐interconnectivity pathology (LC&HI Path): post‐COVID19‐pandemic practice of pathology

Multidisciplinary working in the management of axial and peripheral spondyloarthritis

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