Multidisciplinary meetings at the emergency department: A conversation-analytic study of decision-making

Lucas M. Seuren, Wyke Stommel, Dieneke van Asselt, Özcan Sir, Martijn Stommel and Yvonne Schoon

Social Science & Medicine, 2019, vol. 242, issue C

Abstract: Multidisciplinary meetings (MDMs) have become an established part of many medical disciplines. Much research has been done to investigate the conditions under which they work best. This research, however, has been mostly retrospective and has had little consideration for the actual workings of MDMs. The aim of this study was to determine how Multidisciplinary Teams (MDTs) come to a shared decision and thus how they organize MDMs moment by moment. For this purpose we recorded twenty MDMs at the Department of Emergency Medicine (ED) of the Radboud University Medical Center in The Netherlands between November 2017 and June 2018. These meetings, contrary to those discussed in the literature, were scheduled ad-hoc as patients were seen at the ED and were conducted by small MDTs of between three and six participants, always involving a surgeon, a geriatrician, and an emergency physician.

Keywords: Multidisciplinary meetings; Multidisciplinary teams; Conversation analysis; Social interaction; Structural organization; Emergency department (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1016/j.socscimed.2019.112589

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