多学科团队可以提高初级保健的质量吗? 一个范围审查审查
Shona Marie Bates1,2, Jialing Lin1, Luke N Allen3
1International Centre for Future Health Systems, University of New South Wales, Sydney, Australia.
EClinicalMedicine
|November 3, 2025
概括
初级保健中的多学科团队 (MDT) 显示出混合的结果,对慢性疾病管理,护理的连续性和获得正面或负面影响. 精心规划对于有效实施至关重要.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 基于团队的护理团队
背景情况:
- 越来越多地采用多学科团队 (MDT) 来提高初级保健的质量和获取.
- 在澳大利亚的初级保健改革中,MDT是关键的政策建议.
- 本综述调查了MDT对初级保健质量,连续性和实施因素的影响.
研究的目的:
- 了解多学科团队 (MDT) 对初级保健质量的影响.
- 识别MDT在初级保健机构实施的推动因素和障碍.
- 分析MDT对初级保健中的护理连续性的影响.
主要方法:
- 对同行评审文章的范围审查 (2014-2025年).
- 在多个数据库中进行搜索 (PubMed,Scopus,Web of Science等). 产生了1603个初始记录.
- 39项研究符合纳入标准,使用社会生态模型进行分析.
主要成果:
- MDT模型有很大的差异,从协作提供商网络到替代提供商选择.
- 在初级保健中MDT的结果是混合的,受上下文,政策,组织,专业和患者因素的影响.
- 多元化医学疗法显示出加强慢性疾病管理的潜力,但也可能分裂关系的连续性,并对访问/综合性产生负面影响.
结论:
- 有效的MDT护理是特定于环境的,需要仔细规划才能成功实施.
- 多种多种疗法的潜在好处必须与损害初级保健质量的风险相平衡.
- 需要进一步的研究,以优化MDT战略在不同的初级保健环境.
相关概念视频
Interdisciplinary Care: The Health Care Team-I
2.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.5K
Methods of Documentation VI: Case Management Model
847
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
847
Interdisciplinary Care: The Health Care Team-II
2.1K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.1K
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K

