Role and Characteristic of Multidisciplinarity in Hepatocellular Carcinoma Management and Care Pathway Certification: Bottom-Up Approach of the MDT Project in Italy
Rattachement africain : es, it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
INTRODUCTION: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality worldwide, requiring a multidisciplinary approach for effective management. The MDT Project aimed to define and pilot a structured care model for HCC management in Italy, supported by the implementation of integrated care pathways (ICPs), to standardize organizational processes and ensure the organizational requirements needed for appropriate patient management. METHODS: A multi-phase approach included a narrative review, semi-structured interviews with national experts, and the development of an optimal care model operationalized through a maturity model with 15 organizational elements. A total of 13 hospitals, selected to reflect national heterogeneity, participated in a pilot phase involving tailored action plans and hospital-specific ICPs. In total, ten hospitals proceeded to ICP implementation, and eight achieved certification by an external accreditation body. An expert consensus meeting subsequently validated the care model, key performance indicator (KPI) panel, and assessment tools. Organizational changes were assessed pre- and post intervention through the maturity model evaluation and a survey capturing clinicians' perceptions. RESULTS: Organizational improvements were observed primarily in areas directly targeted by the action plans, including the formalization of care-flow processes, multidisciplinary team structuring, case management, and coordination processes. More limited progress was seen in information systems and KPI monitoring, which require structural investments. Clinicians perceived the certification process as helpful in consolidating procedural standardization and documentation quality. CONCLUSIONS: The MDT Project piloted an organizational model for HCC management in Italy, focusing on care-pathway governance, multidisciplinary coordination, and center readiness. These findings represent an initial step toward broader implementation; future phases should incorporate clinical outcomes and patient-reported measures to evaluate the model's long-term impact.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Role and Characteristic of Multidisciplinarity in Hepatocellular Carcinoma Management and Care Pathway Certification: Bottom-Up Approach of the MDT Project in Italy
- Date Crossref
- 20/05/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Department of Health pays non établi dans la noticeOrganisme public
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Ospedale Garibaldi pays non établi dans la noticeÉtablissement de santé
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University of Palermo Department of Health Promotion pays non établi dans la noticeUniversité ou école supérieure
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Ospedale Antonio Cardarelli pays non établi dans la noticeÉtablissement de santé
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Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale" pays non établi dans la noticeÉtablissement de santé
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Marche Polytechnic University pays non établi dans la noticeUniversité ou école supérieure
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Ospedale Buccheri la Ferla Fatebenefratelli pays non établi dans la noticeÉtablissement de santé
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Campus Bio Medico University Hospital pays non établi dans la noticeÉtablissement de santé
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University of Catania Department of Surgery and Medical and Surgical Specialties pays non établi dans la noticeUniversité ou école supérieure
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Università Campus Bio-Medico pays non établi dans la noticeUniversité ou école supérieure
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Ospedale di Belcolle pays non établi dans la noticeÉtablissement de santé
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UOC Internal Medicine and Hepatology pays non établi dans la noticeInstitution
Department of Health, Ospedale Garibaldi et Department of Health Promotion — University of Palermo, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.