Article
Geriatrics & Gerontology
Ching Shan Wan, Jade Mitchell, Andrea B. Maier
Summary: The Hospital Admission Risk Program (HARP) reduced unplanned hospitalization and bed days, but did not return individuals' hospital use to baseline before the intervention. Variations in mortality between HARP chronic disease management programs imply a preference for condition-specific goals in programs.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Oncology
Ramy Sedhom, Lindsey MacNabb, Thomas J. Smith, K. Robin Yabroff
Summary: The disruption caused by increasing cancer treatment costs is a growing clinical problem, with the existential question of how healthcare teams should address the distress and uncertainty from financial toxicity. The principles and practice of palliative care can alleviate this often overlooked component of human suffering.
SUPPORTIVE CARE IN CANCER
(2021)
Article
Oncology
Wendy P. G. Wolters, Koen M. A. Dreijerink, Rachel H. Giles, Anouk N. A. van der Horst-Schrivers, Bernadette van Nesselrooij, Wouter T. Zandee, Henri J. L. M. Timmers, Tatjana Seute, Wouter W. de Herder, Annemarie A. Verrijn Stuart, Emine Kilic, Willem M. Brinkman, Patricia J. Zondervan, W. Peter Vandertop, Anthony B. Daniels, Tijmen Wolbers, Thera P. Links, Rachel S. van Leeuwaarde
Summary: This article aims to establish a multidisciplinary integrated care pathway for individuals with von Hippel-Lindau (VHL) disease. Through a modified Delphi consensus-making process, a panel of experts developed a comprehensive care pathway for VHL patients, which can be implemented in specialized clinics or nonacademic treatment clinics.
Article
Health Care Sciences & Services
Ashimiyu Durojaiye, James Fackler, Nicolette McGeorge, Kristen Webster, Hadi Kharrazi, Ayse Gurses
Summary: This study successfully identified and described the differences in composition and organization of multidisciplinary care teams at a pediatric trauma center at different times using social network analysis on electronic health record data.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Surgery
Rebecca Sorber, Christopher J. Abularrage
Summary: Diabetic foot ulcers (DFUs) are a common and serious complication of diabetes, with complex treatment and high costs. Social determinants of health play a significant role in outcomes for diabetes and foot ulcers, with worse outcomes seen in minority and socioeconomically disadvantaged populations. Multidisciplinary team care models have been effective in reducing care barriers and improving treatment outcomes.
SEMINARS IN VASCULAR SURGERY
(2021)
Article
Social Work
Paul Willis, Liz Lloyd, Jackie Hammond, Alisoun Milne, Holly Nelson-Becker, Emma Perry, Mo Ray, Sally Richards, Denise Tanner
Summary: The current policy focus in adult social care in England is on promoting independence, preventing or delaying the need for more intensive support, and providing personalized services. A study of innovative social work practice with older adults in England found that specific practices such as demonstrating social work values, positive risk management, and proactive legal knowledge application were effective in delivering services. These approaches mark a departure from more managerialist and procedurally driven methods, showing promise in forging new paths for social work with older individuals.
BRITISH JOURNAL OF SOCIAL WORK
(2022)
Article
Health Care Sciences & Services
Scott A. Bishop, Brenna Bath, Chris Wiechnik, Ivar Mendez, Rachel Johnson, Stacey Lovo
Summary: Virtual care was successfully used to bring together multidisciplinary assessment teams for evaluating injured rural workers with complex musculoskeletal injuries. The study findings suggest that virtual care can save travel time and provide comprehensive rehabilitation care recommendations for rural injured workers. Future research should compare virtual and in-person assessments, and evaluate patient and practitioner experiences with virtual team assessments.
TELEMEDICINE AND E-HEALTH
(2023)
Article
Social Work
Jennifer Boland, Michele Abendstern, Mark Wilberforce, Rosa Pitts, Jane Hughes, David Challis
Summary: The study highlights the difficulty in articulating the specific contribution of mental health social workers and the limitations of secondary data, calling for further research to improve understanding of the role and experiences by service users.
JOURNAL OF SOCIAL WORK
(2021)
Article
Allergy
Lydia Daniels, Sally Barker, Yoon-Seok Chang, Tinatin Chikovani, Audrey DunnGalvin, Jennifer D. Gerdts, Roy Gerth Van Wijk, Trevor Gibbs, Rosalaura V. Villarreal-Gonzalez, Rosa I. Guzman-Avilan, Heather Hanna, Elham Hossny, Anastasia Kolotilina, Jose Antonio Ortega Martell, Punchama Pacharn, Cindy E. de Lira Quezada, Elopy Sibanda, David Stukus, Elizabeth Huiwen Tham, Carina Venter, Sandra N. Gonzalez-Diaz, Michael E. Levin, Bryan Martin, Daniel Munblit, John O. Warner
Summary: There is a gap between evidence publication and implementation in allergic diseases, leading to sub-optimal outcomes. Developing and implementing integrated care pathways is proposed to optimize outcomes in allergy care. Collaborative efforts are needed from all stakeholders to gradually achieve the best results.
WORLD ALLERGY ORGANIZATION JOURNAL
(2021)
Article
Respiratory System
Vincent Cottin, Fernando J. Martinez, Vanessa Smith, Simon L. F. Walsh
Summary: Multidisciplinary team meetings have become increasingly important in the diagnosis and treatment of interstitial lung diseases (ILDs). By integrating clinical data and specialist expertise, these meetings improve diagnostic confidence and guide treatment decisions. However, there is still uncertainty and heterogeneity regarding the optimal practices of these meetings in ILD care.
EUROPEAN RESPIRATORY REVIEW
(2022)
Article
Computer Science, Information Systems
Yiren Liu, Lynleigh Evans, Terence Kwan, James Callister, Simon Poon, Karen Byth, Paul Harnett
Summary: This study aimed to develop a self-assessment tool for MDTs to evaluate their performance and monitor improvement over time. Through a three-phase methodology, a maturity model with validated effectiveness and reliability was established. Results showed good performance of the model indicators, but further refinement and validation are needed.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Article
Psychology, Multidisciplinary
Denis Chenevert, Tyler L. Brown, Marie-Pascale Pomey, Nadia Benomar, Philippe Colombat, Evelyne Fouquereau, Carmen G. Loiselle
Summary: Multidisciplinary teams, especially cancer care teams, often face challenges that can lead to higher levels of distress and burnout. Resilience is emerging as a critical resource that can optimize team members' psychological health and wellbeing, work efficiency, and organizational agility, while reducing burnout. This study aims to implement and evaluate a participatory interventional approach to foster team resilience and determine whether enhanced resilience improves team mental health status and organizational outcomes.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Gastroenterology & Hepatology
Marina Serper, Aneeza Agha, Patrik A. Garren, Tamar H. Taddei, David E. Kaplan, Peter W. Groeneveld, Rachel M. Werner, Judy A. Shea
Summary: In this study, qualitative interviews were conducted to explore the factors that enhance or impede cirrhosis care. The findings suggest that structural factors such as multidisciplinary teams, clinical dashboards, appointment tracking, and the availability of transplant and liver cancer specialists contribute to improved care. However, barriers include clinician turnover, patient social needs, and technological limitations.
HEPATOLOGY COMMUNICATIONS
(2023)
Article
Psychology, Biological
An Zeng, Ying Fan, Zengru Di, Yougui Wang, Shlomo Havlin
Summary: Teamwork plays a significant role in the originality and multidisciplinary impact of scientific research. Studies indicate that fresher teams are more likely to produce original work and have a greater multidisciplinary impact, especially in larger teams. The presence of new team members in a paper is a more effective indicator of research originality and multidisciplinarity.
NATURE HUMAN BEHAVIOUR
(2021)
Review
Geriatrics & Gerontology
Marta H. Hernandez, Ana M. Juanes-Borrego, Raimon Mila, Maria A. Mangues-Bafalluy, Conxita Mestres
Summary: This study found that interventions by multidisciplinary teams including pharmaceutical care can significantly reduce the probability of readmission and improve patients' quality of life, supporting the importance of pharmacists as part of multidisciplinary teams.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Helen Chester, Rebecca Beresford, Paul Clarkson, Charlotte Entwistle, Vincent Gillan, Jane Hughes, Martin Orrell, Rosa Pitts, Ian Russell, Eileen Symonds, David Challis
Summary: The DESCANT intervention trial successfully improved the cognitive abilities, function, and well-being of people with early-stage dementia and their carers by providing personalised care packages and memory aids. The study showed a positive impact on the well-being of participants and demonstrated good implementation.
AGING & MENTAL HEALTH
(2022)
Article
Geriatrics & Gerontology
Tom Pierse, Fiona Keogh, David Challis, Eamon O'Shea
Summary: The study found that people with dementia and their carers place more emphasis on psychosocial support than health and social care professionals. Carers value respite opportunities more and are more likely to consider residential care as a suitable setting for the person with dementia compared to professionals.
AGING & MENTAL HEALTH
(2022)
Review
Nursing
Deborah Buck, Sue Tucker, Brenda Roe, Jane Hughes, David Challis
Summary: This systematic review examines the effectiveness of specialist care home support services in preventing hospital admissions of older care home residents. The study suggests that interventions addressing residents' health needs can reduce hospital admissions, while more robust studies are needed for end-of-life care services.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Economics
Gemma E. Shields, Mark Wilberforce, Paul Clarkson, Tracey Farragher, Arpana Verma, Linda M. Davies
Summary: The use of population averages in cost-effectiveness analysis may hide important differences across subgroups. Many challenges may limit the robust inclusion of subgroup analysis in cost-effectiveness analysis, including difficulties with prespecifying and justifying subgroup analysis, identifying implementable subgroups, resource and data requirements, and statistical and ethical concerns. Greater transparency of subgroup reporting is recommended to address these challenges in future research.
Article
Medicine, Research & Experimental
Donna Maria Coleston-Shields, David Challis, Angela Worden, Emma Broome, Tom Dening, Boliang Guo, Juanita Hoe, Brynmor Lloyd-Evans, Esme Moniz-Cook, Steve Morris, Fiona Poland, David Prothero, Martin Orrell
Summary: Improving home care for people with dementia is a key policy goal in many European countries. This study aims to enhance practice in managing dementia crises by evaluating the effectiveness of an online Resource Kit in community teams. The intervention is based on best practice and collaboration with patients, carers, and practitioners.
Review
Public, Environmental & Occupational Health
Louise Newbould, Sue Tucker, Mark Wilberforce
Summary: Despite the apparent need, many older people with cognitive impairment and/or mental health needs do not fully engage with social care. Little is known about how to support these individuals in their own homes and deliver effective care. A scoping review was conducted to develop a preliminary theory of change for modifying care to engage this client group, highlighting the need for different framing of engagement difficulties in future service design.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2022)
Review
Psychology, Clinical
Ruth Naughton-Doe, Nicola Moran, Emma Wakeman, Mark Wilberforce, Laura Bennett, Martin Webber
Summary: This scoping review examined the outcomes of brief interventions for unpaid carers of adult mental health inpatients and identified research priorities and lessons for practice.
JOURNAL OF MENTAL HEALTH
(2022)
Review
Public, Environmental & Occupational Health
Louise Newbould, Kritika Samsi, Mark Wilberforce
Summary: This review aimed to identify evidence to support the design of learning interventions for non-registered practitioners supporting older people in long-term care. Most interventions focused on improving dementia care, with common features of effective learning including a multifaceted approach and blending in-practice learning with additional implementation strategies.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2022)
Article
Law
Naomi Finch, Simon Halliday, Joe Tomlinson, Jed Meers, Mark Wilberforce
Summary: This article builds upon existing constitutional and legal critiques to examine the use of soft law public health guidance in the UK during the COVID-19 pandemic. By analyzing the findings of a national survey conducted during the first wave of the pandemic in June 2020, it demonstrates the significant impact of the perceived legal status of lockdown rules on public compliance, which is linked to the legitimacy of law in UK society. Based on this analysis, the article argues that the government's approach to guidance, which has faced criticism in constitutional and legal terms, may also risk undermining public loyalty to the law itself.
Article
Public, Environmental & Occupational Health
Mark Wilberforce, Louise Newbould, Sue Tucker, Wendy Mitchell, David Niman
Summary: This study explored the activities of specialist support workers through qualitative research methods and identified three important themes: building trusting relationships, reframing care, and building supportive networks. The study recommends increasing opportunities for support workers to share good practices across team boundaries and improving access to specialist training.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2022)
Article
Social Work
Louise Robinson, Sue Tucker, Claire Hargreaves, Amy Roberts, Jennifer Shaw, David Challis
Summary: The article discusses the challenges of social care for prisoners following release, finding difficulties in case finding and information sharing, while social care for known prisoners generally works well.
BRITISH JOURNAL OF SOCIAL WORK
(2022)
Article
Social Work
Michele Abendstern, Mark Wilberforce, Jane Hughes, Andelijia Arandelovic, Saqba Batool, Jennifer Boland, Rosa Pitts, David Challis
Summary: The study revealed that social workers in CMHTs in England undertake various roles and tasks, but their involvement is proportionally lower than nurses. A significant minority are also engaged in non-traditional social work tasks. Managers expressed concern about the potential negative impact on overall CMHT service delivery if social workers are removed or their role is curtailed, highlighting the importance of their social perspective.
JOURNAL OF SOCIAL WORK
(2022)
Article
Public, Environmental & Occupational Health
Karen Davies, Elizabeth Dalgarno, Colin Angel, Susan Davies, Jane Hughes, Helen Chester, Rowan Jasper, Amy Roberts, David Challis
Summary: This paper examines the commissioning arrangements in England between local authorities and home-care providers. The study finds that providers often face complex and time-consuming commissioning practices, frequent changes, and overly prescriptive contracts, leading to uncertainty and confusion. The paper recommends a collaborative approach based on joint responsibility to provide sustainable home-care services.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2022)