Impact of decision-making in a multidisciplinary perinatal team
| Autor: | Hajo I. J. Wildschut, Hilmar H. Bijma, Paul J. van der Maas, Juriy W. Wladimiroff, Agnes van der Heide |
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| Přispěvatelé: | Public Health, Obstetrics & Gynecology |
| Rok vydání: | 2007 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Consensus Interprofessional Relations Decision Making education Perinatal care MEDLINE Multidisciplinary team End of life decision Prospective analysis Nursing Pregnancy Multidisciplinary approach Surveys and Questionnaires Terminal care Humans Medicine Interdisciplinary communication Prospective Studies Genetics (clinical) Ultrasonography Patient Care Team Terminal Care business.industry Obstetrics and Gynecology Fetal Diseases Perinatal Care Female Interdisciplinary Communication business Delivery of Health Care |
| Zdroj: | Prenatal Diagnosis, 24, 97-103. John Wiley & Sons Ltd. |
| ISSN: | 1097-0223 0197-3851 |
| DOI: | 10.1002/pd.1598 |
| Popis: | Objectives (1) To describe the characteristics of decision-making about management of unborn infants with serious anomalies by a multidisciplinary perinatal team. (2) To evaluate the impact of multidisciplinary team discussions on the degree to which decisions about the management of unborn infants with serious anomalies are supported. (3) To evaluate the impact of the team discussions on the arguments used by physicians for their preferences concerning management. Methods Prospective analysis of 78 cases discussed within the multidisciplinary perinatal team of a tertiary centre by means of an anonymous one-page questionnaire with structured questions pertaining to the opinion of the responder on medical management of each case. Results We did not find systematic differences between specialties prior to the discussion of cases. However, discussion with the multidisciplinary perinatal team improved decision-making about management of unborn infants with serious anomalies by enhancing the degree of support for the decisions taken. The discussions of the team did not change the physicians' arguments mentioned for their preferences. Conclusion Multidisciplinary team discussions improve decision-making about management of unborn infants with serious congenital anomalies. Copyright © 2006 John Wiley & Sons, Ltd. |
| Databáze: | OpenAIRE |
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