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Team Effectiveness in Patient Health Management: An Overview of Reviews

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Author(s): Amédé Gogovor | Bernard Burnand | Sara Ahmed | Terrence Montague | Isabelle Peytremann-Bridevaux

Journal: International Journal of Clinical Medicine
ISSN 2158-284X

Volume: 03;
Issue: 07;
Start page: 614;
Date: 2012;
Original page

Keywords: Team Care Effectiveness | Chronic Disease Management | Chronic Care Model | Overview of Reviews

ABSTRACT
The desire to improve the quality of health care for an aging population with multiple chronic diseases is fostering a rapid growth in interprofessional 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 performness 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
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