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


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. © 2003 Cancer Research UK.

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Divisions: College of Business and Social Sciences > Aston Business School > Work & Organisational Psychology
College of Business and Social Sciences > Aston Business School
Additional Information: © 2003 Cancer Research UK Creative Commons Attribution-NonCommercial-Share-Alike 3.0 licence, subject to the conditions listed at
Uncontrolled Keywords: breast cancer,clinical nurse specialist,collaboration,leadership,multidisciplinary team,outcome and process assessment,workload,caseload
Publication ISSN: 1532-1827
Last Modified: 29 May 2024 07:07
Date Deposited: 11 Mar 2019 17:32
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Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
http://www.natu ... l/6601073a.html (Publisher URL)
PURE Output Type: Article
Published Date: 2003-07-07
Authors: Haward, R.
Amir, Z.
Borill, C.
Dawson, J.
Scully, J. (ORCID Profile 0000-0002-0968-0941)
West, M.
Sainsbury, R.

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