多学科治疗不是以患者为中心的？

Over time, my decisions on who may benefit from our scarce resources have been as much shaped by the local culture and values as it has been by my clinical training. Many of you reading this may instantly say, this rationale is contributing to poor resource utilization,but I would counter with attempting to understand the culture is as much multidisciplinary care as ventilator-acquired pneumonia bundles and out of bed initiatives. In this context, it is also patient centered.

随着时间的推移，我对谁可以使用稀缺资源的决定，逐渐受到肯尼亚当地文化和价值观的影响，其影响力不亚于我的专业学识。读到这里很多人会说，这样会导致资源利用率低下。但我试图反对将这种文化理解为像呼吸机相关性肺炎综合治疗和下床活动一样的多学科治疗。在这种情况下，它也是以患者为中心的。

多学科治疗就不是以患者为中心的？怎么理解？