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      Defining the optimal design of the inflammatory bowel disease multidisciplinary team: results from a multicentre qualitative expert-based study

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          Abstract

          Objective

          To elicit expert views to define the aims, optimal design, format and function of an inflammatory bowel disease (IBD) multidisciplinary team (MDT) with the overall purpose of enhancing the quality of MDT-driven care within an IBD service provision.

          Design

          This study was a multicentre, prospective, qualitative study using a standard semistructured interview methodology.

          Participants

          A multidisciplinary sample of 28 semistructured interviews of which there are six consultant colorectal surgeons, six IBD nurse specialists, seven consultant gastroenterologists, five consultant radiologists and four consultant histopathologists.

          Setting

          Participants were recruited from 10 hospitals, which were a mixture of community hospitals and specialist IBD centres between June and October 2013.

          Results

          Experts argued that the main goal of MDT-driven IBD care is to improve patient outcomes via sharing collective expertise in a formalised manner. Themes regarding the necessary requirements for an IBD MDT to occur included good attendance, proactive contribution, a need to define core members and appropriate and functional computer facilities. Emergent themes regarding the logistics of an effective IBD MDT included an eligibility criterion for case selection and discussion and appropriate scheduling. Themes regarding the overall design of the IBD MDT included a ‘hub-and-spoke’ model versus a ‘single-centre’ model.

          Conclusions

          Defining key elements for an optimal design format for the IBD MDT is necessary to ensure quality of care and reduce variation in care standards. This study has produced a set of expert-based standards that can be used to structure the IBD MDT. These standards now require larger scale validation and consensus prior to becoming a practical guideline for the management of IBD care.

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          Author and article information

          Journal
          Frontline Gastroenterol
          Frontline Gastroenterol
          flgastro
          fg
          Frontline Gastroenterology
          BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
          2041-4137
          2041-4145
          October 2015
          26 March 2015
          : 6
          : 4
          : 290-297
          Affiliations
          [1 ] St Mark's Hospital , London, UK
          [2 ] Department of Surgery, Imperial College London, London, UK
          [3 ] South Devon NHS Foundation Trust, Torbay Hospital , Torquay, UK
          [4 ] Whipps Cross University Hospital NHS Trust , London, UK
          Author notes
          [Correspondence to ] Dr P Morar, St Mark's Hospital, Harrow, London HA1 3UJ, UK; p.morar12@ 123456imperial.ac.uk
          Article
          PMC5369592 PMC5369592 5369592 flgastro-2014-100549
          10.1136/flgastro-2014-100549
          5369592
          28839825
          cc82fb71-c064-41a1-8532-8bcb342ecc68
          Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions
          Categories
          Professional Matters
          Research

          IBD SURGERY,IBD,IBD CLINICAL,HEALTH SERVICE RESEARCH
          IBD SURGERY, IBD, IBD CLINICAL, HEALTH SERVICE RESEARCH

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