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FrancoAngeli Journals

Saggi

No. 124 (2022)

The importance of organizing in cancer care: Cooperation and coordination. Evidence from an action-research project on Lung Cancer

DOI
https://doi.org/10.3280/mesa2022-124oa16271
Submitted
luglio 26, 2023
Published
2023-11-16

Abstract

Inter and intra organizational coordination is a key topic for organizational scholars, especially in the healthcare sector. Despite a wide literature on multidisciplinary team management of cancer patients, existing evidence have not fully analysed which structures, actors, tools and social dynamics are associated with an effective clinical team. This study, through the action research, analyses the current ways of management of Lung Cancer Patients and proposes an optimal model consisting in some organizational guidelines to be applied to ensure an effective management.
Our analysis identifies and detail three pillars characterizing the optimal model: 1) the characteristics of the disease management team, 2) the organizational infrastructure ensuring the adoption of clinical pathways, 3) an integrated system of indicators.

References

  1. Addicott R., McGivern G., & Ferlie E. (2006). Networks, organizational learning and knowledge management: NHS cancer networks. Public Money and Management, 26(2): 87-94. DOI: 10.1111/j.1467-9302.2006.00506.x.
  2. Albano R. (2010). La ricerca intervento. In: Fabbri T.M., Solari L., Organizzare: concetti e metodi, Roma.
  3. Baldwin M. (2002). Co-operative inquiry as a tool for professional development. Systemic Practice and Action Research, 15(3): 223-235. DOI: 10.1023/A:1016392325258.
  4. Bradbury-Huang H. (2012). Value of action research in new healthcare: The importance of advancing action research through relational networks. Action Research, 10(4): 332-335. DOI: 10.1177/1476750312471841.
  5. Brown B.B., Patel C., McInnes E., Mays N., Young J., & Haines M. (2016). The effectiveness of clinical networks in improving quality of care and patient outcomes: a systematic review of quantitative and qualitative studies. BMC health services research, 16(1): 360. DOI: 10.1186/s12913-016-1615-z.
  6. Buja A., Paganini M., Cocchio S., Scioni M., Rebba V., & Baldo V. (2020). Demographic and socio-economic factors, and healthcare resource indicators associated with the rapid spread of COVID-19 in Northern Italy: An ecological study. PLoS One, 15(12): e0244535.
  7. Butera F. (1980). La ricerca intervento. In: Bontadini P., Gasparini G. (Eds.). Teoria della organizzazione e realtà italiana: problemi e contributi. Milano: FrancoAngeli.
  8. Carrato A., Vergnenègre A., Thomas M., McBride K., Medina J., & Cruciani G. (2014). Clinical management patterns and treatment outcomes in patients with non-small cell lung cancer (NSCLC) across Europe: EPICLIN-Lung study. Current medical research and opinion, 30(3): 447-461. DOI: 10.1185/03007995.2013.860372.
  9. Cicchetti A. (2013) (a cura di). I dipartimenti ospedalieri nel Ssn: Origini, evoluzione e prospettive. Milano: FrancoAngeli.
  10. Cicchetti A. (2018). L’organizzazione: la migliore medicina, X Rapporto sulla condizione assistenziale dei malati oncologici. Roma: FAVO.
  11. Corral J., Espinàs J.A., Cots F., Pareja L., Solà J., Font R., & Borràs J.M. (2015). Estimation of lung cancer diagnosis and treatment costs based on a patient-level analysis in Catalonia (Spain). BMC health services research, 15(1): 70. DOI: 10.1186/s12913-015-0725-3.
  12. Croke J.M., El-Sayed S. (2012). Multidisciplinary management of cancer patients: chasing a shadow or real value? An overview of the literature. Current Oncology, 19(4): e232-e238. DOI: 10.3747/co.19.944.
  13. Cropper S., Hopper A., & Spencer S.A. (2002). Managed clinical networks. Archives of Disease in Childhood, 87(1): 1-4. DOI: 10.1136/adc.87.1.1.
  14. Denscombe M. (2007). The Good Research Guide: For Small-Scale Social Research Projects. London: McGraw-Hill.
  15. Doroshow D.B., Sanmamed M.F., Hastings K., Politi K., Rimm D.L., Chen L., Melero I., Schalper K.A., & Herbst R.S. (2019). Immunotherapy in Non-Small Cell Lung Cancer: Facts and Hopes. Clin Cancer Res., 25(15): 4592-4602. DOI:
  16. 1158/1078-0432.CCR-18-1538.
  17. Duggleby W. (2005). What About Focus Group Interaction Data?. Qualitative Health Research, 15(6): 832-840. DOI: 10.1177/1049732304273916.
  18. Eberhardt W.E., De Ruysscher D., Weder W., Le Péchoux C., De Leyn P., Hoffmann H., Westeel V., Stahel R., Felip E., Peters S., & Panel Members (2015). 2nd ESMO Consensus Conference in Lung Cancer: locally advanced stage III non-smallcell lung cancer. Ann Oncol., 26(8): 1573-1588. DOI: 10.1093/annonc/mdv187.
  19. Edwards N. (2002). Clinical networks: Advantages include flexibility, strength, speed, and focus on clinical issues. BMJ, 324: 63. DOI: 10.1136/bmj.324.7329.63.
  20. Fennell M.L., Das I.P., Clauser S., Petrelli N., & Salner A. (2010). The organization of multidisciplinary care teams: modeling internal and external influences on cancer care quality. Journal of the National Cancer Institute. Monographs, (40): 72-80. DOI: 10.1093/jncimonographs/lgq010.
  21. Ferlay J., Soerjomataram I., Dikshit R., Eser S., Mathers C., Rebelo M., Parkin D.M., Forman D., & Bray F. (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN. Int J Cancer, 136(5): E359-86. DOI: 10.1002/ijc.29210.
  22. Fleissig A., Jenkins V., Catt S., & Fallowfield L. (2006). Multidisciplinary teams in cancer care: are they effective in the UK?. The lancet oncology, 7(11): 935-943.
  23. Fleming I., Monaghan P., Gavin A., & O’Neill C. (2008). Factors influencing hospital costs of lung cancer patients in Northern Ireland. The European Journal of Health Economics, 9(1): 79-86. DOI: 10.1007/s10198-007-0047-4.
  24. Fulop N.J., & Ramsay A.I. (2019). How organisations contribute to improving the quality of healthcare. BMJ, 365: l1773. DOI: 10.1136/bmj.l1773.
  25. Gorin S.S., Haggstrom D., Han P.K., Fairfield K. M., Krebs P., & Clauser S.B. (2017). Cancer care coordination: a systematic review and meta-analysis of over 30 years of empirical studies. Annals of Behavioral Medicine, 51(4): 532-546. DOI: 10.1007/s12160-017-9876-2.
  26. Gort M., Broekhuis M., & Regts G. (2013). How teams use indicators for quality improvement – A multiple-case study on the use of multiple indicators in multidisciplinary breast cancer teams. Social Science & Medicine, 96(C): 69-77. DOI: 10.1016/j.socscimed.2013.06.001.
  27. Grandori A. (1996). Disegni di ricerca in organizzazione. In: Costa G., Nacamulli R.C.D. (Eds.). Manuale di zrganizzazione Aziendale: vol. 5, Metodi e tecniche di analisi e di intervento. Torino: Utet.
  28. Granja C., Janssen W., & Johansen M.A. (2018). Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature. J Med Internet Res., 20(5): e10235. DOI: 10.2196/10235.
  29. Helfrich C.D., Weiner B.J., McKinney M.M., & Minasian L. (2007). Determinants of implementation effectiveness: adapting a framework for complex innovations. Medical care research and review, 64(3): 279-303. DOI: 10.1177/1077558707299887.
  30. Hughes A.M., Gregory M.E., Joseph D.L., Sonesh S.C., Marlow S.L., Lacerenza C.N., Benishek L.E., King H.B., & Salas E. (2016). Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol., Sep., 101(9): 1266-1304. DOI: 10.1037/apl0000120.
  31. Huxham C., & Vangen S. (2003). Researching organizational practice through action research: Case studies and design choices. Organizational Research Methods, 6(3): 383-403. DOI: 10.1177/1094428103254454.
  32. Kitzinger J. (1994). The Methodology of Focus Groups: The Importance of Interaction between Research Participants. Sociology of Health & Illness, 16: 103-121. DOI: 10.1111/1467-9566.ep11347023.
  33. Maharaj S., Brahim A., Brown H. et al. (2020). Identifying dispensing errors in pharmacies in a medical science school in Trinidad and Tobago. J of Pharm Policy and Pract, 13(67). DOI: 10.1186/s40545-020-00263.
  34. Malterud K. (2012). Systematic text condensation: a strategy for qualitative analysis. Scandinavian journal of public health, 40(8): 795-805. DOI: 10.1177/1403494812465030.
  35. Morabito A. (2016). The evolution of the treatment of advanced NSCLC. Recenti Prog Med, 107(10): 510-514. DOI: 10.1701/2454.25700.
  36. Morgan D.L. (1996). Focus groups as qualitative research. Thousand Oaks: SAGE publications.
  37. Novello S., Barlesi F., Califano R., Cufer T., Ekman S., Levra M.G., Kerr K., Popat S., Reck M., Senan S., Simo G.V., Vansteenkiste J., Peters S., & ESMO Guidelines Committee (2016). Metastatic non-small-cell lung cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol., 27(5): v1-v27. DOI: 10.1093/annonc/mdw326.
  38. Ottevanger N., Hilbink M., Weenk M., Janssen R., Vrijmoeth T., de Vries A., & Hermens R. (2013). Oncologic multidisciplinary team meetings: evaluation of quality criteria. Journal of evaluation in clinical practice, 19(6): 1035-1043.
  39. Pan C.C., Kung P.T., Wang Y.H., Chang Y.C., Wang S.T., & Tsai W.C. (2015). Effects of multidisciplinary team care on the survival of patients with different stages of non-small cell lung cancer: a national cohort study. PloS one, 10(5): e0126547. DOI: 10.1371/journal.pone.0126547.
  40. Panella M., Marchisio S., Di Stanislao F. (2003). Reducing clinical variations with clinical pathways: do pathways work?. International Journal for Quality in Health Care, 15(6): 509-521. DOI: 10.1093/intqhc/mzg057.
  41. Prades J., Remue E., Van Hoof E., & Borras J.M. (2015). Is it worth reorganising cancer services on the basis of multidisciplinary teams (MDTs)? A systematic review of the objectives and organisation of MDTs and their impact on patient outcomes. Health Policy, 119(4): 464-474. DOI: 10.1016/j.healthpol.2014.09.006.
  42. Reason P., & Bradbury H. (2008). Editorial. Action Research, 6(1): 5-6. DOI: 10.1177/1476750308089760.
  43. Salas-Vega S., Iliopoulos O., & Mossialos E. (2017). Assessment of Overall Survival, Quality of Life, and Safety Benefits Associated With New Cancer Medicines. JAMA Oncol., Mar 1; 3(3): 382-390. DOI: 10.1001/jamaoncol.2016.4166.
  44. Soukup T., Lamb B.W., Arora S., Darzi A., Sevdalis N., & Green J.S. (2018). Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature. Journal of multidisciplinary healthcare, 11: 49-61. DOI: 10.2147/JMDH.S117945.
  45. Stone E., Rankin N., Kerr S., Fong K., Currow D.C., Phillips J., Connon T., Zhang L., & Shaw T. (2018). Does presentation at multidisciplinary team meetings improve lung cancer survival? Findings from a consecutive cohort study. Lung ancer, 124: 199-204. DOI: 10.1016/j.lungcan.2018.07.032.
  46. Taylor C., Munro A.J., Glynne-Jones R., Griffith C., Trevatt P., Richards M., & Ramirez A.J. (2010). Multidisciplinary team working in cancer: what is the evidence?. Bmj, 340.
  47. Vansteenkiste J.D., De Ruysscher W.E.E., Eberhardt E., Lim S., Senan E., Felip S. Peters, on behalf of the ESMO Guidelines Working Group (2014). Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of Oncology, 24: vi89-vi98. DOI: 10.1093/annonc/mdt241.
  48. Waterman H., Tillen D., Dickson R., & De Koning K. (2001). Action research: A systematic review and assessment for guidance. Health Technology Assessment, 5(23): 1-166.
  49. Weaver S.J., Dy S.M., Rosen M.A. (2014). Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf., May, 23(5): 359-72. DOI: 10.1136/bmjqs-2013-001848.
  50. Weller J., Boyd M., & Cumin D. (2014). Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgraduate medical journal, 90(1061): 149-154.
  51. West M.A., & Lyubovnikova J. (2013). Illusions of team working in health care. Journal of health organization and management, 27(1): 134-142.
  52. Yorks L., & Nicolaides A. (2007). The role conundrums of co-inquiry action research: Lessons from the field. Systemic Practice and Action Research, 20(1): 105-116. DOI: 10.1007/s11213-006-9053-1.

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