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Team-oriented care for orofacial clefts: a review of the literature
Insights
Team-oriented care for orofacial clefts shows variable approaches. Further research is needed to understand how these team-based care processes impact long-term outcomes for patients with orofacial clefts.
Area of Science:
- Craniofacial Medicine
- Healthcare Management
- Systematic Review Methodology
Background:
- Orofacial clefts require multidisciplinary management.
- Team-oriented care is considered beneficial for patients with orofacial clefts.
- The specific processes and outcomes of team-based care require further investigation.
Purpose of the Study:
- To systematically review the process of team-oriented care for individuals with orofacial clefts.
- To assess the variability in the application of team-oriented care approaches.
- To identify gaps in the literature regarding the impact of care processes on outcomes.
Main Methods:
- Systematic review of studies on team-oriented management of orofacial clefts.
- Searches conducted across multiple databases including PubMed, OVID, PsychINFO, REHABDATA, and The Cleft Palate-Craniofacial Journal.
- Analysis focused on the use, continuity, and approaches of team-oriented care.
Main Results:
- Nine studies involving 1398 participants were included.
- The use of team-oriented approaches in managing orofacial clefts is highly variable.
- Limited research exists on the process of team-oriented care and its influence on long-term outcomes.
Conclusions:
- While team-oriented care is suggested to improve outcomes for orofacial cleft patients, the process itself is under-examined.
- There is a need for future research to evaluate the impact of team-based care processes on clinical outcomes.
- Investigating the relationship between care processes, cost-effectiveness, and efficiency is crucial.
Abstract:
Objective : To examine the process of team-oriented care for children with orofacial clefts. Design : Systematic review of available studies reporting team-oriented management of children and adults with orofacial clefts. We identified studies from OVID, PsychINFO, REHABDATA, PubMed, and The Cleft Palate-Craniofacial Journal to complete this review. Main Outcome Measures : Process of team-oriented treatment, which included use of team-oriented care, continuity of team-oriented care, and approaches to team-oriented care. Results : We identified nine studies including 1398 participants. We found that studies examining team-oriented approaches to orofacial clefts were limited. Studies of orofacial teams suggest that use of team-oriented approaches to care are highly variable. It is unclear how these inconsistencies in approaches to care influence long-term outcomes. Conclusions : Although the literature suggests that the process of team-oriented care results in better outcomes in individuals with orofacial clefts, process of care as a measurable outcome has yet to be adequately examined. Future studies are needed to investigate the impact on clinical outcomes and their relationship to cost effectiveness and efficiency of care.
