{"title":"Enhancing Collaboration and Patient-Centered Care Through Moderated Multidisciplinary Consultations.","authors":"Mette Hulbaek, Betina Torpegaard Edal, Bettina Ravnborg Thude","doi":"10.2147/JMDH.S530549","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In the last decade, multimorbidity has risen in Western countries. Treating patients with multiple symptoms and health conditions is complex and competencies from different specialties are needed. The World Health Organization emphasizes a multidisciplinary approach to address these complex conditions. Patients with pelvic floor disorders suffer from multiple symptoms, yet today their care is often fragmented across specialties and clinicians focus on symptoms within their own diagnostic frameworks, potentially limiting holistic care. Thus, this study aimed to explore if and how a multidisciplinary organizational set-up for complex patients with pelvic floor disorders can support interprofessional collaboration and approach a complex patient in a patient-centered way.</p><p><strong>Methods: </strong>The study was a qualitative interview study among healthcare professionals in a pelvic floor clinic using a hermeneutic approach in the setting of multidisciplinary team consultations for referred patients with pelvic floor disorders and with multiple and complex pelvic floor conditions.</p><p><strong>Results: </strong>Thematic analysis identified two themes and six subthemes. Theme 1; Coordinated consultation included the subthemes: <i>Providing a framework, Involving team members, and Establishing overview</i>. Theme 2; Patient-centered care set-up included the subthemes: <i>Aligning expectations</i>, I<i>nvolving the patient</i>, and <i>Ensuring the patient feels comfortable and cared for.</i></p><p><strong>Conclusion: </strong>To ensure patient involvement and patient-centeredness, a framework for the decision-making process is required involving management and an overview of the dialogue, timelines, and communication models for involving the patient as well as healthcare professionals. Using a moderator during consultations increased focus on interprofessional collaboration and may be the key for multidisciplinary consultations in the future helping \"put the patient in the center of care\".</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5393-5403"},"PeriodicalIF":2.4000,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12407012/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S530549","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: In the last decade, multimorbidity has risen in Western countries. Treating patients with multiple symptoms and health conditions is complex and competencies from different specialties are needed. The World Health Organization emphasizes a multidisciplinary approach to address these complex conditions. Patients with pelvic floor disorders suffer from multiple symptoms, yet today their care is often fragmented across specialties and clinicians focus on symptoms within their own diagnostic frameworks, potentially limiting holistic care. Thus, this study aimed to explore if and how a multidisciplinary organizational set-up for complex patients with pelvic floor disorders can support interprofessional collaboration and approach a complex patient in a patient-centered way.
Methods: The study was a qualitative interview study among healthcare professionals in a pelvic floor clinic using a hermeneutic approach in the setting of multidisciplinary team consultations for referred patients with pelvic floor disorders and with multiple and complex pelvic floor conditions.
Results: Thematic analysis identified two themes and six subthemes. Theme 1; Coordinated consultation included the subthemes: Providing a framework, Involving team members, and Establishing overview. Theme 2; Patient-centered care set-up included the subthemes: Aligning expectations, Involving the patient, and Ensuring the patient feels comfortable and cared for.
Conclusion: To ensure patient involvement and patient-centeredness, a framework for the decision-making process is required involving management and an overview of the dialogue, timelines, and communication models for involving the patient as well as healthcare professionals. Using a moderator during consultations increased focus on interprofessional collaboration and may be the key for multidisciplinary consultations in the future helping "put the patient in the center of care".
期刊介绍:
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.