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Table 3 Multidisciplinary teams

From: Organizational interventions to implement improvements in patient care: a structured review of reviews

Author, number of studies

Quality score

Focus

Main results

Hearn 1998

N = 5

5

Palliative care teams in advanced cancer

Improved patient and carer satisfaction (PSI 4/5 = 80%). Improved pain and symptom control (PSI 80%). Reduced hospital stay and overall costs (PSI 4/5 = 80%).

Mitchell 2002

N = 7

6

Arrangements that linked family physicians to specialist practitioners

Improved clinical behavior (PSI 4/4 = 100%). Cost savings (PSI 1/2 = 50%). No change in: health outcomes.

Philbin 1999

N = 2

4

Multidisciplinary teams for patients with congestive heart failure

Improved quality of life (PSI 1/2 = 50%). Reduced use of medical care (PSI 1/2 = 50%).

Vliet Vlieland 1997

N = 15

4

Multidisciplinary teams caring for rheumatoid arthritis

Inpatient teams versus usual outpatient care: improved short-term disease activity (PSI 4/4 = 100%), increased costs (2/2 = 100%).

Outpatient teams versus usual outpatient care: improved disease outcomes (PSI 2/5 = 40%).

Zwarenstein 2000

N = 2

7

Interventions to promote collaboration between nurses and doctors

Reduced hospital stay (PSI 1/2 = 50%). No change in: mortality.