Integrated Multidisciplinary Vascular Care Models: International Perspectives and Indonesia's Experience

Area of Science:

• Vascular Surgery
• Health Services Research
• Clinical Governance

Background:

• Global vascular disease burden necessitates integrated care models beyond single-specialty approaches.
• Current care often lacks structured collaboration, leading to suboptimal patient outcomes.
• Multidisciplinary teams (MDTs) offer a potential solution for complex vascular conditions.

Purpose of the Study:

• To frame multidisciplinary vascular care as a formal governance model.
• To synthesize evidence supporting structured MDT frameworks in vascular disease.
• To propose extending MDT principles to prevention and middle-income health systems.

Main Methods:

• Narrative review of international guidelines and evidence.
• Analysis of governance principles in multidisciplinary team function.
• Examination of evidence linking MDTs to clinical outcomes in vascular domains.

Main Results:

• Structured MDT governance decouples treatment selection from procedural execution, reducing bias.
• Shared competency within MDTs ensures consistent standards in diagnostics, therapy, and follow-up.
• Evidence shows MDT frameworks improve limb salvage and reduce mortality in vascular disease.

Conclusions:

• Formalizing multidisciplinary vascular care as a governance model enhances patient-centered goals.
• Extending MDT principles to prevention can enable earlier cardiovascular risk identification.
• This scalable governance approach is crucial for standardizing care in middle-income health systems.