Information Sharing and Case Conference Among the Multidisciplinary Team Improve Patients’ Perceptions of Care



Hiroko Komatsu*, 1, Kazuhiro Nakayama2, Taisuke Togari3, Kumi Suzuki4, Naoko Hayashi2, Yoshie Murakami5, Yukiko Iioka2, Wakako Osaka2, Kaori Yagasaki1, Seigo Nakamura6, Joyce Neumann7, Naoto T Ueno8
1 Faculty of Nursing and Medical Care, Keio University, Tokyo, Japan
2 St. Luke’s College of Nursing, Tokyo, Japan
3 The Open University of Japan, Chiba, Japan
4 School of Nursing, Hyogo University of Health Sciences, Hyogo, Japan
5 Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
6 School of Medicine, Showa University, Tokyo, Japan
7 Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
8 Department of Breast Medical Oncology, The University of Texas MD Anderson, Cancer Center, Houston, TX, USA


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© Komatsu et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Faculty of Nursing and Medical Care, Keio University, 35 Shinano-machi, Shinjuku-ku, Tokyo 160-8582, Japan; Tel: +81-3-5363-3733; Fax: +81-3-5363-2039, E-mail: hkomatsu@sfc.keio.ac.jp


Abstract

Background:

As the advent of genomic technology accelerates personalized medicine and complex care, multidisciplinary care is essential for management of breast cancer.

Objectives:

To assess whether healthcare delivery systems are related to patients’ perceptions of care in breast cancer treatment institutions.

Methods:

We conducted a cross-sectional nationwide study of breast cancer treatment institutions approved by the Japanese Breast Cancer Society in Japan. From 128 of the 457 institutions, 1,206 patients were included in the analysis. Each patient completed a questionnaire regarding perceptions of care that consisted of a multidisciplinary care subscale and a patient-centered care subscale.

Results:

Multiple regression analysis revealed that the multidisciplinary care subscale was significantly related to implementation of patient-based medical record system that was paper-based (p<0.05). The results of the secondary analysis showed a significant relationship between the interdepartmental medical record system and the patient’s perception of multidisciplinary care (p<0.05) and patient-centered care (p<0.05). When a multidisciplinary case conference took place regularly or multidisciplinary viewpoints were incorporated into the conference records, the conference had a significantly higher correlation with both subscales (p<0.001).

Conclusions:

Integrated patient-based information and regular multidisciplinary case conferences that include records of viewpoints from different professionals improve patients’ perceptions of comprehensive breast cancer care.

Keywords: Breast cancer, multidisciplinary care, electronic medical record, patient perception, patient satisfaction, multidisciplinary case conference.