Dr Bikasih Thapa & Dr Maheswar Prasad (Nepal) - Hideo Wada MD PhD (japan) - Dr a Lavra Castrocatesana (Mexico) - Dr Mrs N.M. Hettiarachechui (Srilanka) - Dr Jorge Aldrete Velasco (Mexico) - Prof Hans Peter Kohler (Switzerland) - Dr Hermanus Suhartono S Sp.OG(K) PhD - Dr Isabel Pinheiro (Portugal) - Dr Suranga (Srilanka) - Jovia Dino Jansen Amsterdam,Holand - Hideo Wada MD PhD University Graduate School of Medicine Departement of Moleculer and Laboratory Medicine Japan - DR Bikash Thapa Internal Medicine Nepal University - DR Maheswar Prasad Internal Medicine Nepal University - Dr a Lavra Castro Castresana Colegio de Medicina interna de Mexico - Dr Suransa Manilgama University of Srilanka Internal Departement Medicine - Dr Mrs N.M. Hettiarachechui University of Medicine Srilanka - Dr Jorge Aldrete Velaso .Colegio de Medicina Interna de Mexico - Prof Hans Peter Kholer M.D FACD Profesor of Medicine University ot Switzerland - Dr Ramezan Ali Atace . Baqiyatallah University of Medical Sciences Departement of Micrology Tehran Iran - Ezekiel Wong Toh Yoon Dr. Gastroenterology of Japan - D Eric Beck,MD Bethesda Hospital Capitol Boelevard St Paul USA - Dr Emine Guderen Sahin Istambul University of Internal Medicine Turky - Dr Selmin Toplan Istambul University - Dr Nicholas New Australia - Dr Kughan Govinden. Tropical Infection of Internal Medicine Malaysia - Dr Godfrey M Rwegerera Princes Marina Hospital Bostwana -
Obstacles and challenges faced by multidisciplinary teams in small and medium-sized hospitals: a viewpoint from Japan

Author : Ezekiel Wong Toh Yoon*, Chie Mihara and Murata Hirohiko


Today, multidisciplinary teams (MDTs) are considered an integral part of modern health care.1, 2 In Japan, with the strong backing of medical societies and government policies, small and medium-sized hospitals (defined as hospitals with less than 200 beds, making up almost 70% of all hospitals; Figure 1) are also encouraged to establish MDTs in their efforts to promote patient safety and collaboration between health care professionals. However, due to the shortage of man-power and other resources, MDTs in small and medium-sized hospital often encounter many problems. In this short review, we will consider some of these obstacles and challenges from a Japanese viewpoint, studying the present situation of MDTs in our hospital, a typical medium-sized hospital in Japan

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