变革医疗保健:中西医结合的前沿。

IF 5.3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
David Godfrey, Sasza Koczanowski, Janakan Selvarajah, Weilun Gao, Jonathan Segal, Gianluca Pellino
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引用次数: 0

摘要

炎症性肠病(IBD)是一种具有显著临床和社会经济负担的慢性疾病。多学科IBD团队已经成为IBD管理的黄金标准,提供了一个全面的,以患者为中心的方法,将临床医生,外科医生和其他相关专业人员整合在一起,具有互补的技能。本综述审查了支持多学科实施的国际证据,强调了改善的临床、经济和后勤结果。通过Medline OVID系统搜索确定了59项研究。涉及多学科小组成员单独和作为一个整体或其变体的研究被纳入分析。尽管得到了国家标准的大力认可,但获得多学科护理的机会仍然不均衡,只有少数服务提供全面整合。障碍包括资金、劳动力短缺和地域不平等。虽然目前的数据支持多学科疗效,但需要进一步的标准化研究,特别是在资源匮乏和农村地区。随着IBD患病率的上升,广泛采用多学科模式对于可持续的高质量医疗服务至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the evidence that supports the benefits of the multidisciplinary team in inflammatory bowel disease.

Inflammatory bowel disease (IBD) is a chronic condition with significant clinical and socioeconomic burdens. The Multidisciplinary IBD Team has emerged as the gold standard in IBD management, offering a holistic, patient-centred approach that integrates clinicians, surgeons and other allied professionals with complimentary skill sets. This review examines international evidence supporting multidisciplinary implementation, highlighting improved clinical, economic and logistical outcomes. 59 studies were identified through a systematic search through Medline OVID. Studies involving a member of the multidisciplinary team in isolation and as a whole team or variation of this were included for analysis. Despite strong endorsement in national standards, access to multidisciplinary care remains uneven, with only a minority of services providing full integration. Barriers include funding, workforce shortages, and geographic inequities. While current data support multidisciplinary efficacy, further standardized research is needed, particularly in low-resource and rural settings. With rising IBD prevalence, widespread adoption of multidisciplinary models is essential for sustainable, high-quality care delivery.

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来源期刊
American Journal of Medicine
American Journal of Medicine 医学-医学:内科
CiteScore
6.30
自引率
3.40%
发文量
449
审稿时长
9 days
期刊介绍: The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice. AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical schools across the U.S. Each issue carries useful reviews as well as seminal articles of immediate interest to the practicing physician, including peer-reviewed, original scientific studies that have direct clinical significance and position papers on health care issues, medical education, and public policy.
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