| Impact of decision-making in a multidisciplinary perinatal team. | |
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MedLine Citation:
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PMID: 17191258 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Hilmar H Bijma; Agnes Van der Heide; Hajo I J Wildschut; Paul J Van der Maas; Juriy W Wladimiroff |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Prenatal diagnosis Volume: 27 ISSN: 0197-3851 ISO Abbreviation: Prenat. Diagn. Publication Date: 2007 Feb |
Date Detail:
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Created Date: 2007-02-07 Completed Date: 2007-04-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8106540 Medline TA: Prenat Diagn Country: England |
Other Details:
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Languages: eng Pagination: 97-103 Citation Subset: IM |
Copyright Information:
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(c) 2006 John Wiley & Sons, Ltd. |
Affiliation:
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Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre Rotterdam, The Netherlands. h.hbijma@freeler.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Consensus Decision Making* Delivery of Health Care Female Fetal Diseases / therapy*, ultrasonography Humans Interdisciplinary Communication* Interprofessional Relations* Patient Care Team* Perinatal Care* Pregnancy Prospective Studies Questionnaires Terminal Care |
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