Making Multidisciplinary Team-Based Care (MTBC) a Success in Primary Care: A Scoping Review Care: A Scoping Review

Area of Science:

• Healthcare Management
• Primary Care Medicine
• Health Services Research

Background:

• Patient-centred care is crucial for high-quality healthcare, with multidisciplinary team-based care (MTBC) as a key facilitator.
• MTBC involves professionals collaborating with shared goals, clear roles, trust, and effective communication for success.
• Limited research exists on systemic or cross-organizational approaches supporting MTBC in primary care.

Purpose of the Study:

• To conduct a scoping review identifying international innovations in operationalizing MTBC in primary care settings.
• To determine factors influencing the success of MTBC implementation and adoption.

Main Methods:

• A comprehensive scoping review was conducted between October and December 2024.
• Databases searched included CINAHL, ProQuest Central, PubMed, Scopus, and Web of Science.
• Search terms focused on MTBC, primary care, design, and success factors, following the Arksey and O'Malley framework.

Main Results:

• The review analyzed 58 articles, identifying 14 key success factors and 14 barriers for MTBC implementation.
• Six themes highlight MTBC strengths: patient-centred benefits, teamwork, decision-making, communication, access/performance, and infrastructure.
• Six core benefits and 11 core components of the MTBC model were confirmed.

Conclusions:

• Successful MTBC implementation in primary care requires integrating identified key elements.
• An adaptable MTBC model can enhance service delivery and patient outcomes.
• This review provides guidance for developing effective MTBC models in primary care.