Aguirre Alyssa, Hilsabeck Robin C, O'Mahar Kerry, Carberry Kathleen E, Ayers Gayle, Bertelson John, Rousseau Justin F, Paydarfar David
Department of Neurology, The University of Texas at Austin Dell Medical School, USA.
The University of Texas at Austin, Steve Hicks School of Social Work, USA.
J Interprof Care. 2023 Mar-Apr;37(2):254-261. doi: 10.1080/13561820.2022.2060194. Epub 2022 Apr 24.
The need for blueprints to design specialty care interprofessional collaboration (IPC) models is urgent, given the expanding aging population and current challenges in dementia diagnosis and treatment. We describe key steps creating an interprofessional outpatient dementia specialty clinic, efforts to sustain the model, and evaluation of interprofessional effectiveness and clinician satisfaction. The conception for the Comprehensive Memory Center was informed by qualitative research methodologies including focus groups, interviews, and literature reviews. Quantitative evaluation included satisfaction surveys and team effectiveness measures. The IPC model diverges from typical dementia practices through its interprofessional team, visit structure, approach to decision-making, in-house services, and community collaborations. Team retreats and workshops helped build clinician knowledge of interprofessional values and practices to sustain the IPC model. In the first 3.5 years, we served nearly 750 patients and their caregivers. Team evaluation results revealed that increased access to consultation and sharing the workload and emotional burden were beneficial. The majority of team members preferred the IPC model to traditional models of clinical care.
鉴于老龄人口不断增加以及目前痴呆症诊断与治疗面临的挑战，设计专业护理跨专业协作（IPC）模式的蓝图需求十分迫切。我们描述了创建跨专业门诊痴呆症专科诊所的关键步骤、维持该模式的努力，以及对跨专业有效性和临床医生满意度的评估。综合记忆中心的构想是通过定性研究方法形成的，包括焦点小组、访谈和文献综述。定量评估包括满意度调查和团队有效性指标。IPC模式通过其跨专业团队、就诊结构、决策方式、内部服务和社区合作，有别于典型的痴呆症诊疗方式。团队务虚会和研讨会有助于培养临床医生对跨专业价值观和实践的认识，以维持IPC模式。在最初的3.5年里，我们为近750名患者及其护理人员提供了服务。团队评估结果显示，增加会诊机会以及分担工作量和情感负担是有益的。大多数团队成员更喜欢IPC模式，而非传统的临床护理模式。
