College of Dental Medicine, Roseman University of Health Sciences, South Jordan, Utah, United States of America.
Department of Family and Community Medicine, University of Illinois-Chicago, College of Medicine at Rockford, Rockford, Illinois, United States of America.
PLoS One. 2019 Jun 26;14(6):e0218578. doi: 10.1371/journal.pone.0218578. eCollection 2019.
If interprofessional collaborative practice is to be an important component of healthcare reform, then an evidentiary base connecting interprofessional education to interprofessional practice with significantly improved health and healthcare outcomes is an unconditional necessity. This study is a scoping review of the current peer reviewed literature linking interprofessional collaborative care and interprofessional collaborative practice to clearly identified healthcare and/or patient health-related outcomes. The research question for this review was: What does the evidence from the past decade reveal about the impact of Interprofessional collaborative practice on patient-related outcomes in the US healthcare system?
A modified preferred reporting items for systematic reviews and meta-analyses (PRISMA) approach was followed.
Of an initial 375 articles retrieved 20 met review criteria. The most common professions represented in the studies reviewed were physicians, pharmacists and nurses. Primary care was the most common care delivery setting and measures related to chronic disease the most commonly measured outcomes. No study identified negative impacts of interprofessional collaborative practice. Eight outcome categories emerged from a content analysis of the findings of the reviewed studies.
The results suggest a need for more research on the measurable impact of interprofessional collaborative practice and/or care on patient health-related outcomes to further document its benefits and to explore the models, systems and nature of collaborations that best improve population health, increase patient satisfaction, and reduce cost of care.
如果跨专业协作实践是医疗改革的重要组成部分，那么将跨专业教育与具有显著改善健康和医疗效果的跨专业实践联系起来的循证基础就是必要条件。本研究对当前同行评审文献进行了范围综述，将跨专业协作护理和跨专业协作实践与明确确定的医疗保健和/或患者健康相关结果联系起来。本次审查的研究问题是：过去十年的证据揭示了跨专业实践对美国医疗体系中患者相关结果的影响有哪些？
采用了改良后的系统评价和荟萃分析（PRISMA）首选报告项目方法。
最初检索到的 375 篇文章中，有 20 篇符合审查标准。研究中最常见的专业代表是医生、药剂师和护士。初级保健是最常见的医疗服务提供场所，与慢性病相关的措施是最常用的衡量结果。没有研究发现跨专业协作实践的负面影响。对综述研究结果进行内容分析后出现了八个结果类别。
结果表明，需要对跨专业协作实践和/或护理对患者健康相关结果的可衡量影响进行更多研究，以进一步记录其益处，并探讨改善人口健康、提高患者满意度和降低医疗成本的最佳合作模式、系统和性质。
