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Medical Team Meetings:  Utilising Technology to Enhance Communication, Collaboration and Decision-Making

Today, it has become common practice that a team of clinicians, instead of a single doctor, manages the care of an individual patient (i.e. team-based treatment).  This is especially true in complex or difficult cases, when decisions are being made.  For example, when determining the disease stage in a cancer patient, or when planning a treatment strategy that involves concurrent or sequential treatments of different modalities (chemotherapy, radiation therapy or surgery) several specialities are involved and synchronous interaction among these professionals in a multidisciplinary team (MDT) is preferred. 

Typically this change in healthcare work practice, from a single clinician to a group of clinicians managing a patient, has resulted in the development of team meetings.  Team meetings, and interdisciplinary/multidisciplinary team meetings (MDTMs) in particular, tend to have a specific set of characteristics regardless of the individual patient, the disease being discussed, or the types of treatment being considered (Måseide, 2006).  Such interdisciplinary/multidisciplinary team meetings are being recommended (Calman and Hine, 1995), and have been described, in Europe, Australia and North America, particularly in publically funded healthcare systems and/or large teaching centres (Groth et al., Kane and Luz, 2009).  Furthermore, as healthcare continues to become more centralised and specialised, communication technology is being deployed to enable multidisciplinary team (MDT) services to be provided over large geographical areas (Li et al., 2008).

These developments raise a host of issues:  How are different roles, a range of expertise and specialised knowledge bases integrated?  What kind of technologies are needed and/or available?  How can technology be employed to support or enhance the communication and functions of meetings?  Are there particular requirements for video-mediated communication, or other I.T. based solutions, in such settings?  What difference, if any, does co-location make to practice?  The major focus in this special issue is on the particular problems faced in multidisciplinary team meetings in clinical domains, and the solutions offered to address these problems.

This special issue aims to bring together papers that explore the intersection between researchers focusing on, and practitioners working within, the health care sector, with an interest in different aspects of meeting processes in clinical domains.  Our aim is to explicate the issues and identify how technology can be employed to improve the effectiveness of meetings.  The following are suggested, but not exclusive themes.  Our interest is in papers that address issues that may relate to preparation for MDTMs, communication during meetings, record keeping and/or follow-up on meeting decisions.  We are also interested in the transfer of responsibility for patient care between individual specialists, and/or between different teams (co-located or technology mediated).  Reports on studies conducted in ward settings or analogous meetings among clinicians that involve these topics are also welcomed.
We encourage a broad range of contributions that are both from a technical and a social perspective, but the domain of work should be within health care.  Suggested topics include:

-   collaboration issues (how information is shared during medical team meetings / MDTMs, and how team work is performed etc.)

-   technology supporting collaboration (using for example multi-modal interfaces, information visualisation, and haptics to support different interaction forms during MDTMs)

-   mediated communication (including using video conference technology and mobile systems)

-   record keeping (for example information and decision capture at MDTMs)

-   methods to identify design issues, conduct evaluations, development and deployment

-   methodological issues (e.g. regarding collaboration between developers and procurement)

-   costs, economic and policy issues 

KEY DATES  

Paper Submission: 15th May 2010  

Final decisions: 30th July 2010  

Submission of Revised Papers: 30th September 2010 

Final submission to BIT: 29th October 2010 

GUEST EDITORS

Bridget Kane PhD, Trinity College Dublin, Ireland

Kristina Groth PhD, KTH and Karolinska Institutet, Stockholm, Sweden

Dave Randall PhD, Manchester Metropolitan University, United Kingdom

EDITORIAL BOARD

Clive Griffith, National Clinical Advisor on breast cancer to NHS.Improvement-Cancer, 
United Kingdom

Gunnar Hartvigsen, Professor, Department of Computer Science, University of Tromsø, Norway, and Norwegian Centre for Integrated Care and Telemedicine

Saturnino Luz, PhD, Dept of Computer Science, Trinity College Dublin, Ireland

Per Måseide, Professor in Sociology, Faculty of Social Sciences, Bodø University College, Norway

Ken O'Byrne, Clinical Professor of Oncology, St James's Hospital, Dublin,
and School of Medicine - Haematology and Oncology, Trinity College Dublin, Ireland

Mick Peake, National Clinical Lead, NHS Cancer Improvement and Clinical Lead, National Intelligence Network, United Kingdom

Johan Permert, Professor of Surgery, Karolinska Institutet

and head of the Gastro Enterology Department at Karolinska University Hospital, Sweden

Madhu Reddy, PhD, College of Information Sciences and Technology, the Pennsylvania 
State University, U.S.A.

Di Riley, MSc, Associate Director for Clinical Outcomes, National Cancer Intelligence Network, UK

Jeremiah Scholl, PhD, Norwegian Centre for Integrated Care and Telemedicine, Tromsø, Norway

Eva-Lotta Sallnäs, PhD, Dept. of HCI, School of Computer Science and Communication, 
Royal Institute of Technology, Sweden

Charlotte Tang, PhD, Department of Community Health Sciences, Faculty of Medicine, 
University of Calgary, Canada

Pieter Toussaint, Associate Professor NTNU and NSEP, Trondheim, Norway

Stephanie Wilson, Centre for HCI Design, City University London, UK



SUPPORT WEBSITE  

The following site has been set up to provide support material for the special issue.

www.scss.tcd.ie/publications/MDTM_Special_Issue

EXPRESSIONS OF INTEREST

The Guest editors appreciate expressions of interest (EoI) as they help to plan the review cycle and allocation.  EoIs can range from a one paragraph through to a two-page position statement like submission.  These can be sent to [log in to unmask] any time before the paper submission deadline.

SUBMISSIONS

Manuscripts (up to 18 pages) should be prepared according to the Journal of Behaviour and Information Technology (BIT) requirements and submitted via the on-line system.

BIT provides extensive instructions for authors, which can be found at: 

http://www.tandf.co.uk/journals/journal.asp?issn=0144-929X&linktype=44

Submission is through the standard BIT website, all submissions should be submitted as being for the Special Issue on "Medical Team Meetings: Utilising Technology to Enhance Communication, Collaboration and Decision-Making".

Submissions should be no longer than 18 pages, to include Figures and Tables. All papers will be blind reviewed.  

GENERAL ENQUIRIES 

General Enquiries can be addressed to [log in to unmask]

REFERENCES

CALMAN, K. & HINE, D. 1995. A Policy Framework for Commissioning Cancer Services. In: HEALTH, D. O. (ed.). Cardiff: Welsh Office.

GROTH, K., OLIN, K., GRAN, O. & PERMERT, J. The role of technology in video-mediated consensus meetings. Journal of telemedicine and e-health, 14, 349-353.

KANE, B. & LUZ, S. 2009. Achieving Diagnosis by Consensus. Computer Supported Cooperative Work (CSCW), 18, 357 - 392.

LI, J., MANSFIELD, T. & HANSEN, S. Year. Supporting Enhanced Collaboration in Distributed Multidisciplinary Care Team Meetings. In:  21st IEEE International Symposium on Computer-Based Medical Systems, 17-19 June 2008 2008 Jyväskylä, Finland. IEEE, 482-487.

MÅSEIDE, P. 2006. The deep play of medicine: Discursive and collaborative processing of evidence in medical problem solving. Communication & Medicine, 3, 43-54.

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