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Breast cancer teams:the impact of constitution, new cancer workload and methods of operation on their effectiveness

Haward, R and Amir, Z and Borrill, C and Dawson, Jeremy and Scully, J and West, Michael and Sainsbury, R (2003) Breast cancer teams:the impact of constitution, new cancer workload and methods of operation on their effectiveness. British Journal of Cancer, 89 (1). pp. 15-22. ISSN 0007-0920

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Abstract

National guidance and clinical guidelines recommended multidisciplinary teams (MDTs) for cancer services in order to bring specialists in relevant disciplines together, ensure clinical decisions are fully informed, and to coordinate care effectively. However, the effectiveness of cancer teams was not previously evaluated systematically. A random sample of 72 breast cancer teams in England was studied (548 members in six core disciplines), stratified by region and caseload. Information about team constitution, processes, effectiveness, clinical performance, and members' mental well-being was gathered using appropriate instruments. Two input variables, team workload (P=0.009) and the proportion of breast care nurses (P=0.003), positively predicted overall clinical performance in multivariate analysis using a two-stage regression model. There were significant correlations between individual team inputs, team composition variables, and clinical performance. Some disciplines consistently perceived their team's effectiveness differently from the mean. Teams with shared leadership of their clinical decision-making were most effective. The mental well-being of team members appeared significantly better than in previous studies of cancer clinicians, the NHS, and the general population. This study established that team composition, working methods, and workloads are related to measures of effectiveness, including the quality of clinical care.

Item Type: Article
Journal or Publication Title: British Journal of Cancer
Uncontrolled Keywords: breast cancer ; clinical nurse specialist ; collaboration ; leadership ; multidisciplinary team ; outcome and process assessment (health care) ; workload ; caseload
Subjects: H Social Sciences > HD Industries. Land use. Labor
Departments: Lancaster University Management School > Lancaster University Management School - Other > Centre for Performance-Led HR
ID Code: 55799
Deposited By: ep_importer_pure
Deposited On: 13 Jul 2012 11:13
Refereed?: Yes
Published?: Published
Last Modified: 26 Jul 2012 20:42
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/55799

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