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Multidisciplinary care planning and teamwork in primary care
Geoffrey K Mitchell1, Jennifer J Tieman, Tania M Shelby-James
1Discipline of General Practice, University of Queensland, Brisbane, QLD, Australia. g.mitchell@uq.edu.au
The Medical Journal of Australia
|June 17, 2008
Summary
Multidisciplinary care planning (MDP) improves patient outcomes for chronic diseases. However, widespread implementation requires complex strategies to integrate care and change provider interactions for routine use.
Area of Science:
- Health Services Research
- Chronic Disease Management
- Healthcare Policy
Background:
- Chronic diseases and complex care needs present significant challenges to healthcare systems.
- Effective care coordination is crucial for improving patient outcomes in these populations.
- Multidisciplinary care planning (MDP) is a proposed model to address these challenges.
Purpose of the Study:
- To examine policy and implementation issues surrounding multidisciplinary care planning (MDP).
- To assess the effectiveness of MDP in improving outcomes for patients with chronic disease and/or complex care needs.
Main Methods:
- Conducted five systematic reviews of literature published between 1990 and 2006.
- Focused on issues related to the planning and provision of multidisciplinary care.
- Analyzed multidisciplinary and team components of MDP programs.
Main Results:
- MDP demonstrated improvements in various functional outcomes across studied areas.
- Key components of MDP include diverse clinical perspectives, specialist knowledge, communication, and support.
- Implementation necessitates changes in provider interactions, role alignment, and organizational structures.
Conclusions:
- MDP positively impacts functional outcomes for patients with chronic conditions.
- Widespread adoption of MDP requires sophisticated and targeted implementation strategies.
- Further research and testing of implementation strategies are essential for routine use of MDP in chronic disease management.
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