Implementation and Outcomes of a Standardized Multidisciplinary Treatment Outpatient Model in Two Pediatric Tertiary Hospitals

Miao Wang,1,* Chengjie Ye,2,* Xuan Gao,3 Yuping Qian,3 Tianxing Feng,4 Yu Shi3 1Department of Medical Affairs, Shanghai Children’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of China; 2Department of Information and Data Center, National Children’s Medical Center, Children’s Hospital of Fudan University, Shanghai, People’s Republic of China; 3Outpatient and Emergency Management Office, National Children’s Medical Center, Children’s Hospital of Fudan University, Shanghai, People’s Republic of China; 4Department of Medical Affairs, Shanghai Clinical Research and Trial Center, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yu Shi, Outpatient and Emergency Management Office, National Children’s Medical Center, Children’s Hospital of Fudan University, Shanghai, People’s Republic of China, Email [email protected] Tianxing Feng, Department of Medical Affairs, Shanghai Clinical Research and Trial Center, Shanghai, People’s Republic of China, Email [email protected]: This study aims to investigate the implementation and outcomes of the Multidisciplinary Treatment (MDT) outpatient model in two pediatric tertiary hospitals, guided by the standardized “Three Fixed Elements and Four Dedicated Processes” operational plan.Methods: A retrospective analysis was conducted on the MDT outpatient services at the Children’s Hospital of Fudan University and Shanghai Children’s Hospital, School of Medicine, Shanghai Jiao Tong University, from 2018 to 2025.Results: During the study period, MDT outpatient services at two pediatric hospitals showed substantial growth, serving 15,813 patients with complex and rare conditions. Annual service volume increased from 304 to 5,174, and the number of MDT clinics expanded from 13 to 53, reflecting enhanced service capacity and efficiency. Specialty coverage developed in three phases, incorporating core clinical departments and integrated supportive services. Operational consistency was maintained through a “Three Fixed Elements and Four Dedicated Processes” framework, with performance monitored via a five-dimension management system tracking clinic volume, protocol standardization, expert participation, record quality, and patient satisfaction.Conclusion: The management model effectively enhances multidisciplinary focus, strengthens outpatient clinic construction, and facilitates continuous patient management and successful interdisciplinary collaboration. The study demonstrates the model’s success in building a scalable, standardized, and patient-centered MDT system for pediatric complex care.Keywords: multidisciplinary team, pediatrics, outpatient clinic, standardized management, rare diseases