title: Deploying Team Science Principles to Optimize Interdisciplinary Lung Cancer Care Delivery: Avoiding the Long and Winding Road to Optimal Care.
abstract: The complexity of lung cancer care mandates interaction between clinicians with different skill sets and practice cultures in the routine delivery of care. Using team science principles and a case-based approach, we exemplify the need for the development of real care teams for patients with lung cancer to foster coordination among the multiple specialists and staff engaged in routine care delivery. Achieving coordinated lung cancer care is a high-priority public health challenge because of the volume of patients, lethality of disease, and well-described disparities in quality and outcomes of care. Coordinating mechanisms need to be cultivated among different types of specialist physicians and care teams, with differing technical expertise and practice cultures, who have traditionally functioned more as coactively working groups than as real teams. Coordinating mechanisms, including shared mental models, high-quality communication, mutual trust, and mutual performance monitoring, highlight the challenge of achieving well-coordinated care and illustrate how team science principles can be used to improve quality and outcomes of lung cancer care. To develop the evidence base to support coordinated lung cancer care, research comparing the effectiveness of a diverse range of multidisciplinary care team approaches and interorganizational coordinating mechanisms should be promoted.
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Raymond U
authors.initials: RU
authors.lastname: Osarogiagbon
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Hector P
authors.initials: HP
authors.lastname: Rodriguez
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Danielle
authors.initials: D
authors.lastname: Hicks
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Raymond S
authors.initials: RS
authors.lastname: Signore
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Kristi
authors.initials: K
authors.lastname: Roark
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Satish K
authors.initials: SK
authors.lastname: Kedia
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Kenneth D
authors.initials: KD
authors.lastname: Ward
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Christopher
authors.initials: C
authors.lastname: Lathan
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Scott
authors.initials: S
authors.lastname: Santarella
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Gould
authors.affiliation: Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center; School of Public Health, University of Memphis, Memphis, TN; School of Public Health, University of California, Berkeley, Berkeley; Bonnie J. Addario Lung Cancer Foundation, San Carlos; Kaiser Permanente Southern California, Pasadena, CA; Dana-Farber Cancer Institute, Boston, MA; and Meridian Cancer Care and Rutgers Medical School, Neptune, NJ.
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Krasna
mesh_terms: D003695:Delivery of Health Care; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000628:therapy*; D008875:Middle Aged; D010348:Patient Care Team