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A systematic review of interventions that use multidisciplinary team meetings to manage multimorbidity in primary care

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Title: A systematic review of interventions that use multidisciplinary team meetings to manage multimorbidity in primary care
Authors: Greenfield, G
Item Type: Journal Article
Abstract: Introduction: Multidisciplinary team (MDT) meetings could facilitate coordination of care for individuals living with multimorbidity, yet there is limited evidence on their effectiveness. We hence explored the common characteristics of MDT meetings in primary care and assessed the effectiveness of interventions that include such meetings, designed to improve outcomes for adults living with multimorbidity. Methods: A systematic review of literature was conducted using MEDLINE and EMBASE. A narrative synthesis was performed, extracting study and MDT meeting characteristics, in addition to any outcomes reported. Results: Four randomised controlled trials that were conducted in the United States of America were identified as eligible, recruiting a total of 3,509 adults living with multimorbidity. Common MDT meeting themes include regular frequency of discussion, the absence of patient involvement and the participation of three or four multiprofessionals. Significant improvements were observed in response to interventions with an MDT component across most measures, yet this trend did not extend to physical health outcomes. Discussion: It is unclear if the results in this review are sufficient to support the widespread implementation of MDT meetings in primary care, for adults living with multimorbidity. Due to the paucity of studies collated, further research is required to inform widespread implementation.
Date of Acceptance: 6-Oct-2022
URI: http://hdl.handle.net/10044/1/99743
DOI: 10.5334/ijic.6473
ISSN: 1568-4156
Publisher: Utrecht University, Maastricht University, Groningen University
Start Page: 1
End Page: 10
Journal / Book Title: International Journal of Integrated Care
Volume: 22
Issue: 4
Copyright Statement: © 2022 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
integrated care
primary care
multidisciplinary teams
multimorbidity
COLLABORATIVE CARE
DEPRESSION
integrated care
multidisciplinary teams
multimorbidity
primary care
1110 Nursing
1117 Public Health and Health Services
Publication Status: Published
Online Publication Date: 2022-10-18
Appears in Collections:Faculty of Medicine
School of Public Health
Department of Brain Sciences



This item is licensed under a Creative Commons License Creative Commons