Table 2. Sample patient and caregiver quotations in reference to multidisciplinary care.
Theme | Patient | Caregiver |
---|---|---|
[A] Physician collaboration | ‘No one has all the answers. A team is a lot better than an individual mind.’ ‘After they explained everything, I didn’t need a second opinion and went right on with the treatment.’ |
‘That’s why I like what we’ve got here now. When they did the biopsy everybody was on board. My primary care physician is back in the loop, our pulmonologist is back in the loop, but he’s also with the group more or less. Everybody’s all back on one thing. Personally a multidiscipline approach to anything like that far exceeds running here to Joe Smith to Sam Harris down the road down there.’ |
[B] Efficiency | ‘A lot of people come to Memphis from out of town for their medical, from far away, actually, and maybe to have it all on one day in one place is a lot easier for them than to try and find their way around everyplace else also.’ ‘He sent me to the hospital, and when I got there, they had my records. They had everything, because doctor (in multidisciplinary clinic) or someone in his (group) had arrangements and prepared them for him.’ ‘I do like the one concept, have not to go to different—because then you gotta start all over. You know what I hate to go in to a doctor is that catalogue of paperwork you have to fill out.’ |
‘If I’m gonna take a day and take her to the doctor, I think she would feel better to see two or three doctors in one day than to have an appointment this week, and then next week somebody gotta take some time out of their schedule.’ ‘No, she doesn’t have to go here for her tests and there. Doctor (in multidisciplinary clinic) basically does all of her (tests). If she need that information when she go to doctor (non-multidisciplinary participating physician), he’ll get in touch with doctor (in multidisciplinary clinic).’ |
[C] Patient-physician communication | ‘I mean doctor (multidisciplinary clinic) was very clear about what to expect so that I didn’t have any scary, unpleasant surprises going forward. In fact, they prepared me for the worst-case scenario, and I’m not—I didn’t get sick at all, but I was prepared in case I got sick.’ ‘I felt more like a cow getting branded (serial care experience) versus me going in to see (multidisciplinary care doctor) and all them down there. When I went in there, I felt more human. I felt more as a patient, when I went in there, I felt at ease.’ |
‘She’s been kept very well-informed of like how long the chemo—because her first chemo took eight hours. She got there at 8:00 in the morning and left at 5:00. She knew that goin’ in, that it was gonna be an all-day thing.’ ‘I never heard anybody that so carefully gave the odds in a way that was somehow reassuring even though, you know, and the comparison of what your chances were if you took this treatment and if you took another treatment.’ |
[D] Central point of contact | ‘It ain’t like gasoline. You can’t go from one station to another.’ | ‘With this, being able to walk into one place and all your doctors are there. You don’t have to make appointments; you don’t have to chase ‘em down; you don’t have to sit here an hour, go there an hour, go there an hour, take up a whole week. You’re there.’ |
[E] General satisfaction | ‘I’m totally happy with my course of treatment. I feel like the doctors, doctor (multidisciplinary clinic doctor), called in the doctors he thought were necessary to look at me. I felt very well taken care of and I know that humans make mistakes but I feel like the man’s got my best interest at heart. I feel really taken care of.’ | ‘I’m impressed with all the caregivers and nurses (in multidisciplinary clinic), how kind they are, how thoughtful they are. I think that’s made a lot of difference in how she feels about the care she’s getting.’ |
[F] Opportunities for improvement | ‘I believe he gonna either won’t have time to just focus on one patient, and then go to next patient. The time is cut real short.’ ‘It looks like there’s a system, but not everybody knows it’s there.’ |
‘There’s more work to do, but I think the communication piece between the surgeon and the oncologist is where I can see this whole process a little more, it needs to tighten up. It wasn’t made clear to us until, like I said, well into the process. It would be nice if in this group if we knew—for instance, we don’t know who the pulmonologist is in that group, because obviously that would be the ideal person to be treating her as well.’ |