Cheng Abby L, Snider Elsa M, Prather Heidi, Dougherty Nikole L, Wilcher-Roberts Myisha, Hunt Devyani M
Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St Louis School of Medicine, St Louis, MO, USA (ALC, DMH); Brown School Evaluation Center, Brown School at Washington University in St Louis, St Louis, MO, USA (EMS, NLD, MWR); Kirksville College of Osteopathic Medicine, A. T. Still University, Kirksville, MO, USA (EMS); Department of Physical Medicine and Rehabilitation, Weill Cornell Medical College, New York, NY, USA (HP).
Am J Lifestyle Med. 2022 Oct 25;18(1):95-107. doi: 10.1177/15598276221135539. eCollection 2024 Jan-Feb.
Interprofessional care improves outcomes for medically complex patients and may be a valuable addition to standard lifestyle medicine practice, but implementation barriers exist. The purpose of this study was to explore the key features, perceived impact, and implementation considerations related to holding interprofessional team meetings as part of an intensive lifestyle medicine program. In this mixed-methods study, focus groups were conducted with 15 lifestyle medicine clinicians from various healthcare disciplines who had participated in interprofessional team meetings. Quantitative descriptive statistics of the meeting minutes were also calculated. Clinician-perceived benefits from participating in interprofessional team meetings included increased acquisition of knowledge, access to other clinicians, collaborative decision-making, patient satisfaction, and achievement of patient-centered goals. Participants described the importance of preparing an agenda for the interprofessional team meetings in advance, but a major implementation challenge was the time required to prepare for and conduct the meetings. Commitment and financial support by organization and program leadership were reported as key facilitators to implementing the meetings. Clinicians perceive significant value from incorporation of interprofessional team meetings into an intensive lifestyle medicine program, but successful implementation of meetings requires investment from all levels within a healthcare system.
跨专业护理可改善病情复杂患者的治疗效果,可能是标准生活方式医学实践的一项宝贵补充,但存在实施障碍。本研究的目的是探讨作为强化生活方式医学项目一部分举行跨专业团队会议的关键特征、感知影响和实施考量因素。在这项混合方法研究中,对15名来自不同医疗保健学科、参加过跨专业团队会议的生活方式医学临床医生进行了焦点小组访谈。还对会议记录进行了定量描述性统计分析。临床医生认为参加跨专业团队会议的益处包括知识获取增加、与其他临床医生交流、共同决策、患者满意度以及实现以患者为中心的目标。参与者描述了提前为跨专业团队会议准备议程的重要性,但一个主要的实施挑战是准备和召开会议所需的时间。据报告,组织和项目领导层的承诺和资金支持是召开会议的关键推动因素。临床医生认为将跨专业团队会议纳入强化生活方式医学项目具有重大价值,但会议的成功实施需要医疗系统各级的投入。