Enhancing Collaboration and Patient-Centered Care Through Moderated Multidisciplinary Consultations.

IF 2.4 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Multidisciplinary Healthcare Pub Date : 2025-08-30 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S530549
Mette Hulbaek, Betina Torpegaard Edal, Bettina Ravnborg Thude
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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".

Abstract Image

通过适度的多学科会诊加强协作和以患者为中心的护理。
背景:在过去十年中,多病在西方国家有所上升。治疗具有多种症状和健康状况的患者是复杂的,需要来自不同专业的能力。世界卫生组织强调采取多学科方法来处理这些复杂的情况。盆底疾病患者有多种症状,但目前他们的护理往往分散在不同的专科,临床医生在自己的诊断框架内关注症状,这可能限制了整体护理。因此,本研究旨在探讨是否以及如何为复杂的盆底疾病患者建立一个多学科的组织机构,以支持跨专业合作,并以患者为中心的方式处理复杂的患者。方法:该研究是一项定性访谈研究,在盆底诊所的医疗保健专业人员中使用解释学方法,在多学科团队咨询盆底疾病和多种复杂盆底疾病的转诊患者。结果:主题分析确定了两个主题和六个副主题。主题1;协调协商包括以下主题:提供一个框架,让团队成员参与进来,以及建立概述。主题2;以患者为中心的护理设置包括:调整期望,让患者参与,确保患者感到舒适和被照顾。结论:为了确保患者参与和以患者为中心,需要一个涉及管理的决策过程框架,以及涉及患者和医疗保健专业人员的对话、时间表和沟通模式的概述。在会诊期间使用主持人增加了对跨专业合作的关注,可能是未来多学科会诊的关键,有助于“将患者置于护理中心”。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Multidisciplinary Healthcare
Journal of Multidisciplinary Healthcare Nursing-General Nursing
CiteScore
4.60
自引率
3.00%
发文量
287
审稿时长
16 weeks
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.
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