Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2011

Open Access 01-12-2011 | Study protocol

Evaluation of the impact of interdisciplinarity in cancer care

Authors: Dominique Tremblay, Danièle Roberge, Linda Cazale, Nassera Touati, Elizabeth Maunsell, Jean Latreille, Jacques Lemaire

Published in: BMC Health Services Research | Issue 1/2011

Login to get access

Abstract

Background

Teamwork is a key component of the health care renewal strategy emphasized in Quebec, elsewhere in Canada and in other countries to enhance the quality of oncology services. While this innovation would appear beneficial in theory, empirical evidences of its impact are limited. Current efforts in Quebec to encourage the development of local interdisciplinary teams in all hospitals offer a unique opportunity to assess the anticipated benefits. These teams working in hospital outpatient clinics are responsible for treatment, follow-up and patient support. The study objective is to assess the impact of interdisciplinarity on cancer patients and health professionals.

Methods/Design

This is a quasi-experimental study with three comparison groups distinguished by intensity of interdisciplinarity: strong, moderate and weak. The study will use a random sample of 12 local teams in Quebec, stratified by intensity of interdisciplinarity. The instrument to measure the intensity of the interdisciplinarity, developed in collaboration with experts, encompasses five dimensions referring to aspects of team structure and process. Self-administered questionnaires will be used to measure the impact of interdisciplinarity on patients (health care utilization, continuity of care and cancer services responsiveness) and on professionals (professional well-being, assessment of teamwork and perception of teamwork climate). Approximately 100 health professionals working on the selected teams and 2000 patients will be recruited. Statistical analyses will include descriptive statistics and comparative analysis of the impact observed according to the strata of interdisciplinarity. Fixed and random multivariate statistical models (multilevel analyses) will also be used.

Discussion

This study will pinpoint to what extent interdisciplinarity is linked to quality of care and meets the complex and varied needs of cancer patients. It will ascertain to what extent interdisciplinary teamwork facilitated the work of professionals. Such findings are important given the growing prevalence of cancer and the importance of attracting and retaining health professionals to work with cancer patients.
Appendix
Available only for authorised users
Literature
1.
2.
Lemieux-Charles L, McGuire WL: What do we know about health care team effectiveness?. Med Care Res Rev. 2006, 63 (3): 263-300. 10.1177/1077558706287003.CrossRefPubMed
3.
4.
5.
Teamkin-Greener H, Gross D, Kunitz SJ, Mukamel D: Measuring interdisciplinary team performance in a long-term care setting. Med Care. 2004, 42 (5): 472-481.CrossRef
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Rabinowitz B: Interdisciplinary breast cancer care: declaring and improving the standard. Oncology. 2004, 18 (10): 1263-1268.PubMed
21.
22.
Wilson NJ, Kizer KW: Oncology management by the "new" Veterans Health Administration. Cancer. 1998, 82 (Suppl 10): 2003-2009.CrossRefPubMed
23.
Zorbas H, Barraclough B, Rainbird K, Luxford K, Redman S: Multidisciplinary care for women with early breast cancer in the Australian context: what does it mean?. Med J Aust. 2003, 179 (10): 528-531.PubMed
24.
McGrath JE: Groups Interaction and performance. 1984, Englewood Cliffs NJ: Prentice Hall
25.
Dobbins GH, Lane IM, Steiner DD: A note on the role of laboratory methodologies in applied behavioural research: Don't throw out the baby with the bath water. J Organ Behav. 1988, 9: 281-286.CrossRef
26.
Tremblay D: La traduction d'une innovation organisationnelle dans les pratiques professionnelles de réseau: l'infirmière pivot en oncologie. PhD thesis. 2008, Université de Montréal, Faculty of Nursing
27.
28.
Brill NI: Team-Work: Working together in the human services. 1976, Philadelphia: JB Lippincott
29.
Haward R, Amir Z, Borrill C, Dawson J, Scully J, West M, Sainsbury R: Breast cancer teams: the impact of constitution, new cancer workload, and methods of operation on their effectiveness. Br J Cancer. 2003, 89 (1): 15-22. 10.1038/sj.bjc.6601073.CrossRefPubMedPubMedCentral
30.
San Martin-Rodriguez L: Évaluation des effets de la collaboration interprofessionnelle chez les professionnels et chez les patients dans les unités d'hospitalisation en oncologie et en hématologie. PhD thesis. 2007, Université de Montréal, Faculty of Nursing
31.
Heinemann GD, Zeiss AM: Team performance in health care: assessment and development. 2002, New-York: Kluwer Academic/Plenum PublishersCrossRef
32.
West MA, Borrill CS, Unsworth K: Team effectiveness in organizations. International Review of Industrial Organizational Psychology. Edited by: Cooper CL, Robertson IT. 1998, Chichester: Wiley and Sons, 13: 1-48.
33.
D'Amour D, Ferrada-Videla M, San Martin-Rodriguez L, Beaulieu MD: The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks. J Interprof Care. 2005, 19: 116-131. 10.1080/13561820500082529.CrossRefPubMed
34.
San Martin-Rodriguez L, Beaulieu MD, D'Amour D, Ferrada-Videla M: The determinants of successful collaboration: a review of theoretical and empirical studies. J Interprof Care. 2005, 19: 132-147. 10.1080/13561820500082677.CrossRefPubMed
35.
McMickan S, Rodger S: Characteristics of effective teams: a literature review. Aust Health Rev. 2000, 23 (3): 201-208. 10.1071/AH000201.CrossRef
36.
Stewart GL: A meta-analytic review of relationships between team design features and team performance. J Manage. 2006, 31 (1): 29-54.
37.
Hackman JR: Leading teams: setting the stage for great performances. 2002, Boston, Massachusetts: Harvard Business School Press
38.
Sicotte C, D'Amour D, Moreault MP: Interdisciplinary collaboration within Québec Community Health Care Centres. Soc Sci Med. 2002, 55 (6): 991-1003. 10.1016/S0277-9536(01)00232-5.CrossRefPubMed
39.
Vinokur-Kaplan D: Treatment teams that work (and those that don't): An application of Hackman's group effectiveness model to interdisciplinary teams in psychiatric hospitals. J Appl Behav Sci. 1995, 31 (3): 303-327. 10.1177/0021886395313005.CrossRef
40.
Mukamel DB, Temkin-Greener H, Delavan R, Peterson DR, Gross D, Kunitz S, Williams TF: Team performance and risk-adjusted health outcomes in the Program of All-Inclusive Care for the Elderly (PACE). Gerontologist. 2006, 46 (2): 227-237. 10.1093/geront/46.2.227.CrossRefPubMed
41.
Hall JA, Dornan MC: Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990, 30 (7): 811-818. 10.1016/0277-9536(90)90205-7.CrossRefPubMed
42.
Nguyen Thi PL, Briancon S, Empereur F, Guillemin F: Factors determining inpatient satisfaction with care. Soc Sci Med. 2002, 54 (4): 493-504. 10.1016/S0277-9536(01)00045-4.CrossRefPubMed
43.
Sandoval GA, Brown AD, Sullivan T, Green E: Factors that influence cancer patients' overall perceptions of the quality of care. Int J Qual Health Care. 2006, 18 (4): 266-274. 10.1093/intqhc/mzl014.CrossRefPubMed
44.
Lemieux-Charles L, Murray M, Baker GR, Barnsley J, Tasa K, Ibrahim SA: The effects of quality improvement practices on team effectiveness: a mediational model. J Organ Behav. 2002, 23 (5): 533-553. 10.1002/job.154.CrossRef
45.
Liedtka JM, Whitten E: Enhancing care delivery through cross-disciplinary collaboration: a case study. J Healthc Manag. 1998, 43 (2): 185-203. discussion 203-205PubMed
46.
Mathieu J, Maynard T, Rapp T, Gilson L: Team effectiveness 1997-2007: A review of recent advancements and a glimpse into the future. J Manage. 2008, 34 (3): 410-476.
47.
McMickan SM: Evaluating the effectiveness of health care teams. Aust Health Rev. 2005, 29 (2): 211-217. 10.1071/AH050211.CrossRef
48.
Schofield RF, Amodeo M: Interdisciplinary teams in health care and human services settings: are they effective?. Health Soc Work. 1999, 24 (3): 210-219.CrossRefPubMed
49.
Weingarten SR, Henning JM, Badamgarav E, Knight K, Hasselblad V, Gano A, Ofman JJ: Interventions used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports. BMJ. 2002, 325 (7370): 925-10.1136/bmj.325.7370.925.CrossRefPubMedPubMedCentral
50.
Hulscher ME, Laurant MG, Grol RP: Process evaluation on quality improvement interventions. Qual Saf Health Care. 2003, 12 (1): 40-46. 10.1136/qhc.12.1.40.CrossRefPubMedPubMedCentral
51.
Zwarenstein M, Bryant W: Interventions to promote collaboration between nurses and doctors. Cochrane Database Syst Rev. 2000, 2 (2): CD000072.PubMed
52.
53.
Borrill C, West M, Shapiro D, Rees A: Team working and effectiveness in health care. Br J Health Care Magmt. 2000, 6 (8): 364-371.CrossRef
54.
55.
Grumbach K, Bodenheimer T: Can health care teams improve primary care practice?. JAMA. 2004, 291 (10): 1246-1251. 10.1001/jama.291.10.1246.CrossRefPubMed
56.
Poulton BC, West MA: The determinants of effectiveness in primary health care teams. J Interprof Care. 1999, 13 (1): 7-18. 10.3109/13561829909025531.CrossRef
57.
Provan KG, Milward HB: Do networks really work? A framework for evaluating public-sector organizational networks. Public Adm Rev. 2001, 61 (4): 414-423. 10.1111/0033-3352.00045.CrossRef
58.
Amir Z, Scully J, Borrill C: The professional role of breast cancer nurses in multi-disciplinary breast cancer care teams. Eur J Oncol Nurs. 2004, 8 (4): 306-314. 10.1016/j.ejon.2003.12.011.CrossRefPubMed
59.
August DA, Carpenter LC, Harness JK, Delosh T, Cody RL, Adler DD, Oberman H, Wilkins E, Schottenfeld D, McNeely SG: Benefits of a multidisciplinary approach to breast care. J Surg Oncol. 1993, 53 (3): 161-167. 10.1002/jso.2930530306.CrossRefPubMed
60.
Baldwin LM, Taplin SH, Friedman H, Moe R: Access to multidisciplinary; Is it linked to the use of breast-conserving surgery with radiation for early-stage breast carcinoma. Cancer. 2004, 100 (4): 701-709. 10.1002/cncr.20030.CrossRefPubMed
61.
Black TG, Westwood MJ: Evaluating the development of a multidisciplinary leadership team in a cancer-center. The Leadership & Organization Development Journal. 2004, 25 (7): 577-591. 10.1108/01437730410561468.CrossRef
62.
Catt S, Fallowfield L, Jenkins V, Langridge C, Cox A: The informational roles and psychological health of members of 10 oncology multidisciplinary teams in the UK. Br J Cancer. 2005, 93 (10): 1092-1097. 10.1038/sj.bjc.6602816.CrossRefPubMedPubMedCentral
63.
Hearn J, Higginson IJ: Do specialist palliative care teams improve outcomes for cancer patients? A systematic literature review. Palliat Med. 1998, 12 (5): 317-332. 10.1191/026921698676226729.CrossRefPubMed
64.
Kingsmore D, Hole D, Gillis C: Why does specialist treatment of breast cancer improve survival? The role of surgical management. Br J Cancer. 2004, 90 (10): 1920-1925. 10.1038/sj.bjc.6601846.CrossRefPubMedPubMedCentral
65.
Ponte PR, Gross AH, Winer E, Connaughton MJ, Hassinger J: Implementing an interdisciplinary governance model in a comprehensive cancer center. Oncol Nurs Forum. 2007, 34 (3): 611-616. 10.1188/07.ONF.611-616.CrossRefPubMed
66.
Harrison JD, Choy ET, Spillane A, Butow P, Young JM, Evans A: Australian breast cancer specialists' involvement in multidisciplinary treatment planning meetings. Breast. 2008, 17 (4): 335-340. 10.1016/j.breast.2008.03.001.CrossRefPubMed
67.
Ruhstaller T, Roe H, Thurlimann B, Nicoll JJ: The multidisciplinary meeting: An indispensable aid to communication between different specialities. Eur J Cancer. 2006, 42 (15): 2459-2462. 10.1016/j.ejca.2006.03.034.CrossRefPubMed
68.
Gladstein D: A model of task group effectiveness. Admin Sci Quart. 1984, 29: 499-517. 10.2307/2392936.CrossRef
69.
Gray JR: The tumor conference: an integral component of the oncology program. J Oncol Manag. 1997, 6 (1): 10-14.PubMed
70.
71.
Roberge D, Cazale L, Tremblay D, Hébert-Croteau N: Les effets des équipes interdisciplinaires locales en oncologie au Québec: Étude pilote en Montérégie, Rapport de recherche. 2007, Greenfield Park, Centre de recherche de l'Hôpital Charles Lemoyne
72.
Contandriopoulos AP, Champagne F, Potvin L, Denis JL, Boyle P: Savoir préparer une recherche: la définir, la structurer, la financer. 1990, Montréal: Les Presses de l'Université de Montréal
73.
Vallerand RJ: Vers une méthodologie de validation transculturelle de questionnaires psychologiques: implications pour la recherche en langue française. Can Psychol. 1989, 30 (4): 662-689.CrossRef
74.
75.
Valentine NB, Lavallée R, Liu B, Bonsel GJ, Murray CJL: Classical psychometric assessment of the responsiveness instrument in the WHO multi-country survey study on health and responsiveness 2000-2001. Health systems performance assessment: Debates, methods and empirism. Edited by: Murray CJL, Evans DB. 2003, Geneva: World Health Organization, 597-630.
76.
Development and validation of the picker ambulatory oncology survey instrument in Canada. National Research Corporation. 2003
77.
Cella DF, Tulsky DS, Gray G: The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol. 1993, 11: 570-579.PubMed
78.
Conroy T, Mercier M, Bonneterre J, Luporsi E, Lefebvre JL, Lapeyre M, Puyraveau M, Schraub S: French version of FACT-G: Validation and comparison with other cancer-specific instruments. Eur J Cancer. 2004, 40: 2243-2252. 10.1016/j.ejca.2004.06.010.CrossRefPubMed
79.
Cooley ME, McCorkle R, Knafl GJ, Rimar J, Barbieri MJ, Davies M, Murren J: Comparison of health-related quality of life questionnaires in ambulatory oncology. Qual Life Res. 2005, 14: 1239-1249. 10.1007/s11136-004-5534-9.CrossRefPubMed
80.
Overcash J, Extermann M, Parr J, Perry J, Balducci L: Validity and reliability of the FACT-G scale for use in the older person with cancer. Am J Clin Oncol. 2001, 24 (6): 591-596. 10.1097/00000421-200112000-00013.CrossRefPubMed
81.
Rousseau V, Aubé C, Savoie A: Le fonctionnement interne des équipes de travail: conception et mesure. Can J Behav Sci. 2006, 38 (2): 120-135.CrossRef
82.
Maslach C, Jackson S: The measurement of experienced burnout. J Occup Behav. 1981, 2: 99-113. 10.1002/job.4030020205.CrossRef
83.
Maslach C, Jackson S: Maslach Burnout Inventory. 1986, Palo Alto California: Consulting Psychologist's Press
84.
Grunfeld E, Whelan TJ, Zitzelsberger L, Willan AR, Montesanto B, Evans WK: Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction. CMAJ. 2000, 163 (2): 166-169.PubMedPubMedCentral
85.
Dillman DA: Mail and internet surveys: The tailored design method. 2000, New York: Wiley, 2
86.
Lauzier S, Maunsell E, Drolet M, Coyle D, Hebert-Croteau N, Brisson J, Masse B, Abdous B, Robidoux A, Robert J: Wage losses in the year after breast cancer: extent and determinants among Canadian women. J Natl Cancer Inst. 2008, 100 (5): 321-332. 10.1093/jnci/djn028.CrossRefPubMed
87.
Leyland AH, Goldstein H: Multilevel modelling of health statistics. 2001, Chichster: Wiley
88.
Bollen KA: Structural equations with latent variables. 1989, New-York: WileyCrossRef
89.
Byrne BM: Structural equation modeling with EQS and EQS/Windows: Basic concepts, applications and programming. 1994, Thousand Oaks: Sage
90.
Field A: Discovering statistics using SPSS. 2005, Thousand Oaks: Sage Publications, 2
91.
Hatcher L: A step-by-step approach to using the SAS system for factor analysis and structural equation modelling. 1998, SAS Institute Inc, 3
92.
Kline RB: Principles and practice of structural equation modeling. 1998, New York: Guilford Press
93.
Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J, Knowledge Transfer Study Group: How can research organizations more effectively transfer research knowledge to decision makers?. Milbank Q. 2003, 81 (2): 221-48. 10.1111/1468-0009.t01-1-00052. 171-172CrossRefPubMedPubMedCentral
94.
Sussman S, Valente TW, Rohrbach LA, Skara S, Pentz MA: Translation in the health professions: converting science into action. Eval Health Prof. 2006, 29 (1): 7-32. 10.1177/0163278705284441.CrossRefPubMed
95.
Estabrooks CA, Thompson DS, Lovely JJ, Hofmeyer A: A guide to knowledge translation theory. J Contin Educ Health Prof. 2006, 26 (1): 25-36. 10.1002/chp.48.CrossRefPubMed
96.
Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: time for a map?. J Contin Educ Health Prof. 2006, 26 (1): 13-24. 10.1002/chp.47.CrossRefPubMed
Metadata
Title
Evaluation of the impact of interdisciplinarity in cancer care
Authors
Dominique Tremblay
Danièle Roberge
Linda Cazale
Nassera Touati
Elizabeth Maunsell
Jean Latreille
Jacques Lemaire
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2011
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-11-144

Other articles of this Issue 1/2011

BMC Health Services Research 1/2011 Go to the issue

Research article

Long-term medical utilization following ventilator-associated pneumonia in acute stroke and traumatic brain injury patients: a case-control study

Research article

Health information management and perceptions of the quality of care for children with tracheotomy: A qualitative study

Research article

Making a success of providing NHS Health Checks in community pharmacies across the Tees Valley: a qualitative study

Study protocol

A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial

Research article

Sustainable practice change: Professionals' experiences with a multisectoral child health promotion programme in Sweden

Research article

Utilisation of sexual health services by female sex workers in Nepal