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Table 5 Medians for each disease group: recommendations rated “disagree” overalla

From: Use of a formal consensus development technique to produce recommendations for improving the effectiveness of adult mental health multidisciplinary team meetings

  Question Overall median Mean absolute deviation from the median (MADM) Median amongst mental health panellists N = 5 Median amongst cancer panellists N = 6 Median amongst heart failure panellists N = 5
56 MDT meetings should be a forum for brainstorming and giving advice without necessarily reaching a decision 3 1.25 3 3 2
57 Only complex cases should be discussed in the MDT meetings (regardless of whether they are new or existing patients) 3 1.31 3 2 3
58 It is more important to discuss all patients, even if superficially, than it is to discuss a smaller number of patients in more depth 3.5 1.69 2 5 2
59 There should be time within MDT meetings to discuss current and emerging research and evidence which is not specifically related to an individual case 3.5 2.38 6 3.5 3
60 Members should be allowed to join the meeting for cases that are relevant to them and leave after the discussion of these 3 1.19 3 3 3
61 Patients’ treatment preferences should be routinely discussed at the MDT meeting and if not available the case should not be discussed 3 1.94 5 4 2
62 Patient preferences regarding available management options should be reported to the MDT meeting only if the clinician responsible for their care thinks it will alter the decision 3 2.00 5 3.5 2
63 Patients should be asked before the MDT how much they want to be involved in decision-making about their treatment 3 1.88 3 2.5 3
64 All patients should be told if they are going to be discussed at an MDT meeting before the meeting otherwise they should not be discussed 2 1.88 5 1 2
65 All patients should be explicitly given the choice of whether or not to be discussed at the MDT meeting 1.5 1.19 2 1 1
66 Patients should not be given an explicit choice, but if they express concern about being discussed at the MDT meeting they should be allowed to opt out 2 1.25 2 2 5
67 Patients should be given the option of attending MDT meetings 1 1.19 5 1 1
68 Patients should be given MDT meeting feedback only when decisions are made about their care 3 1.06 3 3 5
  1. aStrength of agreement was agree for medians 7 - 9; uncertain for medians 4 - 6.5 and disagree for medians 1 - 3.5