Team Effectiveness in Patient Health Management: An Overview of Reviews

Détails

Ressource 1Télécharger: 2012_Gogovor_Team_IntJClinMed_614.pdf (297.97 [Ko])
Etat: Serval
Version: Final published version
ID Serval
serval:BIB_FB0C06F427C5
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Team Effectiveness in Patient Health Management: An Overview of Reviews
Périodique
International Journal of Clinical Medicine
Auteur(s)
Gogovor Amédé, Burnand Bernard, Ahmed Sara, Montague Terrence, Peytremann-Bridevaux Isabelle
ISSN
2158-284X (Print)
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
03
Numéro
07
Pages
614-627
Langue
anglais
Résumé
Background: The desire to improve the quality of health care for an aging population with multiple chronic diseases is fostering a rapid growth in inter-professional team care, supported by health professionals, governments, businesses and public institutions. However, the weight of evidence measuring the impact of team care on patient and health system outcomes has not, heretofore, been clear. To address this deficiency, we evaluated published evidence for the clinical effectiveness of team care within a chronic disease management context in a systematic overview. Methods: A search strategy was built for Medline using medical subject headings and other relevant keywords. After testing for perform- ance, the search strategy was adapted to other databases (Cinhal, Cochrane, Embase, PsychInfo) using their specific descriptors. The searches were limited to reviews published between 1996 and 2011, in English and French languages. The results were analyzed by the number of studies favouring team intervention, based on the direction of effect and statistical significance for all reported outcomes. Results: Sixteen systematic and 7 narrative reviews were included. Diseases most frequently targeted were depression, followed by heart failure, diabetes and mental disorders. Effective- ness outcome measures most commonly used were clinical endpoints, resource utilization (e.g., emergency room visits, hospital admissions), costs, quality of life and medication adherence. Briefly, while improved clinical and resource utilization endpoints were commonly reported as positive outcomes, mixed directional results were often found among costs, medication adherence, mortality and patient satisfaction outcomes. Conclusions: We conclude that, although suggestive of some specific benefits, the overall weight of evidence for team care efficacy remains equivocal. Further studies that examine the causal interactions between multidisciplinary team care and clinical and economic outcomes of disease management are needed to more accurately assess its net program efficacy and population effectiveness.
Open Access
Oui
Création de la notice
08/09/2013 12:19
Dernière modification de la notice
09/05/2019 3:49
Données d'usage