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Intervention

Organisational Intervention: Clinical multidisciplinary teams

Definition

Creation of a new team of health professionals of different disciplines or additions of new members to the team who work together to care for patients.

Effectiveness

Two high quality reviews (Gruen, Smith) were identified. These reviews had an insufficient number of studies to draw any conclusions about the intervention.

Summary of Overall Findings from Reviews

11 reviews that examined the effectiveness of clinical multidisciplinary teams were identified and none were assessed as being of high quality or a key review.

Summary of Findings Related to Prescribing

No high quality or key reviews with a sufficient number of studies to draw conclusions about prescribing outcomes were identified.

Reviews listed as "Summary Pending" will be analyzed, summarized and reported at a later date.

The findings will then be incorporated in the overall evidence summaries of the interventions they address.

Reviews Addressing This Intervention Quality Assessment Tool:
AMSTAR Score (of 11 points)
Gruen R, Weeramanthri Ts, Knight S, Bailie R. Specialist outreach clinics in primary care and rural hospital settings. Cochrane Database of Systematic Reviews 2003 4:CD003798. 8 (High)
Smith SM, Allwright S, O'Dowd T. Effectiveness of shared care across the interface between primary and specialty care in chronic disease management. Cochrane Database of Systematic Reviews 2007 3:CD004910. 8 (High)
Hesselink G, Schoonhoven L, Barach P, Spijker A, Gademan P, Kalkman C, Liefers J, Vernooij-Dassen M, Wollersheim H. Improving patient handovers from hospital to primary care: a systematic review. Annals of Internal Medicine 2012 157 (6):417-428. 7
Summary Pending
Smith SM, Allwright S, O'Dowd T. Does sharing care across the primary-specialty interface improve outcomes in chronic disease? A systematic review. American Journal of Managed Care 2008 14 (4):213-24. 7 (Medium)
Zwarenstein M, Goldman J, Reeves S. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews 2009 3:CD000072. 7 (Medium)
Comino EJ, Davies GP, Krastev Y, Haas M, Christl B, Furler J, Raymont A, Harris MF. A systematic review of interventions to enhance access to best practice primary health care for chronic disease management, prevention and episodic care. BMC Health Services Research 2012 12:415. 6
Summary Pending
Gilbody S, Whitty P, Grimshaw J, Thomas R. Educational and organizational interventions to improve the management of depression in primary care: a systematic review. JAMA 2003 289 (23):3145-51. 6 (Medium)
Koshman SL, Charrois TL, Simpson SH, McAlister FA, Tsuyuki RT. Pharmacist care of patients with heart failure: a systematic review of randomized trials. Archives of Internal Medicine 2008 168 (7):687-94. 6 (Medium)
Castelino R, Bajorek B, Chen T. Targeting suboptimal prescribing in the elderly: a review of the impact of pharmacy services. The Annals of Pharmacotherapy 2009 43 (6):1096-106. 5 (Medium)
Ellitt GR, Brien JA, Aslani P, Chen TF. Quality patient care and pharmacists' role in its continuity--a systematic review. Annals of Pharmacotherapy 2009 43 (4):677-91. 5 (Medium)
McDonnell A, Nicholl J, Read SM. Acute pain teams and the management of postoperative pain: a systematic review and meta-analysis. Journal of Advanced Nursing 2003 41 (3):261-73. 5 (Medium)
Ioannidis JP, Lau J. Evidence on interventions to reduce medical errors: an overview and recommendations for future research. Journal of General Internal Medicine 2001 16 (5):325-34. 4 (Medium)
Ostini R, Hegney D, Jackson C, Williamson M, Mackson JM, Gurman K, Hall W, Tett SE. Systematic review of interventions to improve prescribing. Annals of Pharmacotherapy 2009 43 (3):502-13. 4 (Medium)