Perspectives of Pharmacists on the Structure, Decision-Making, and Communication Practices of Multidisciplinary Cancer Teams in Alabama

Moano Gnagna-Waka

Samford University McWhorter School of Pharmacy

Georges Adunlin

Samford University McWhorter School of Pharmacy

Katie Boyd

Samford University McWhorter School of Pharmacy

Patricia Jumbo-Lucioni

Samford University McWhorter School of Pharmacy, Department of Biological Sciences, College of Arts and Science, University of Alabama at Birmingham

Bolanle Bolaji

Department of Epidemiology, School of Public Health, University of Alabama at Birmingham

Matthew Asare

Department of Public Health, Baylor University

DOI: https://doi.org/10.24926/iip.v13i1.4298

Keywords: pharmacist; multidisciplinary team; cancer; shared decision-making


Abstract

Introduction: A multidisciplinary team (MDT) approach within cancer care settings is increasingly being adopted to improve patient outcomes due to the rising complexity of diagnosis and treatment. This study aims to explore the perspective of pharmacists on the structure, decision-making process, and communication practices of cancer MDTs.

Methods: A 25‐item online questionnaire was distributed to oncology‐related clinical pharmacists in Alabama. Data were analyzed using descriptive statistics.

Results: A total of 15 pharmacists completed the survey. More than half of the respondents reported that MDT meetings were held mostly in person on a set schedule. While physicians primarily facilitated the meetings, patients and/or their caregivers were largely not invited to participate in them. The treating physician oversaw delivering and update to the patient and/or their caregivers after the MDT meetings. Most respondents indicated that positron emission and computed tomography were the most common sources of information available at initial case presentations. Overall, respondents strongly agreed that they felt comfortable sharing their opinions with others health professionals during MDT meetings.

Conclusions: This study provides evidence that oncology pharmacists are involved in MDT decision-making processes and communications but suggests the need to promote conditions to further their participation.

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