WCLC 2025 - Posters & ePosters-P1.17.41 Bridging Gaps in Lung Cancer Care: The Quantitative Impact of Inter-Hospital Remote MDT Consultations in China

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This study evaluates the impact of remote inter-hospital multidisciplinary team (MDT) consultations on lung cancer care in China, focusing on bridging gaps between Tier 3 (Centers of Excellence, COEs) and Tier 2 hospitals. Due to China's vast geography and disparities in healthcare resources, many Tier 2 hospitals lack expertise and comprehensive MDT capabilities, leading to suboptimal patient outcomes. <br /><br />In 2024, 80 hospitals (11 COEs and 69 Tier 2) participated in remote MDT sessions facilitated via the AI-based iMDT platform. A total of 302 healthcare professionals (HCPs) discussed 200 lung cancer cases through these inter-hospital MDTs. A structured questionnaire was completed by 233 HCPs by January 2025, assessing changes in treatment plans, diagnostic accuracy, educational benefits, and satisfaction.<br /><br />Results showed that MDT discussions led to changes in treatment plans in 43% of cases, with increased incorporation of radiotherapy (16%) and immunotherapy (10%). The concurrent chemoradiotherapy (CRT) rate rose significantly from 43% to 59%, indicating better adherence to standard care guidelines. These adjustments suggest improved diagnostic accuracy and more comprehensive treatment strategies fostered by remote MDT collaboration.<br /><br />Beyond clinical improvements, remote MDTs were highly valued for professional development. All surveyed HCPs expressed satisfaction with the iMDT platform; 85% were very satisfied, and 100% supported continuing the MDT program. Additionally, 76% found the MDTs highly beneficial in enhancing their expertise in lung cancer care, with similar recognition of improvements in hospital diagnostic and treatment techniques.<br /><br />The study concludes that remote MDT consultations effectively enhance clinical decision-making, treatment adherence, and HCP expertise, particularly in resource-limited Tier 2 hospitals. To expand these benefits, policies supporting digital infrastructure, increased inter-hospital cooperation, and shared training resources are essential for strengthening lung cancer care equity across China's diverse healthcare setting.

Asset Subtitle

Wen Gao

Meta Tag

Speaker Wen Gao

Topic Global Health, Health Services, and Health Economics

Keywords

remote MDT consultations

lung cancer care

China healthcare

Tier 3 Centers of Excellence

Tier 2 hospitals

iMDT platform

treatment plan changes

diagnostic accuracy

professional development

healthcare disparities