Impact of interprofessional collaboration on chronic disease management: Findings from a systematic review of clinical trial and meta-analysis

Pascucci, Domenico; Sassano, Michele; Nurchis, Mario Cesare; Cicconi, M; Acampora, Anna; Park, Daejun; Morano, Carmen; Damiani, Gianfranco

doi:10.1016/j.healthpol.2020.12.006

Cited by 44 publications

(37 citation statements)

References 53 publications

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“…In line with the premises of this review, this result suggests that in the last years, the education of patients with type 2 diabetes involves different specialists able to work together to guarantee positive outcomes, as described by different authors from our work [ 51 , 58 ]. These results appear encouraging if framed in the recent literature that highlights how the support of different health professionals could be beneficial for the patients [ 72 ] and for the care team [ 73 , 74 , 75 ]. This is in accordance with the quadruple aim, which fosters both the enhancement of patients’ experience and the care-team wellbeing [ 76 ].…”

Section: Discussionmentioning

confidence: 76%

Educational Interventions for Promoting Food Literacy and Patient Engagement in Preventing Complications of Type 2 Diabetes: A Systematic Review

Savarese

Sapienza

Acquati

et al. 2021

JPM

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The present review aims to map the current literature on educational interventions to promote food literacy in type 2 diabetes, with a particular focus on the concept of patient engagement. The systematic review was implemented on five databases with no restrictions on the publication year. The studies selected for the review were focused on patients with type 2 diabetes, ranging from 2003 to 2021 and published in 13 countries (44% USA). Thirty-three articles were analyzed. Twenty-seven articles targeted singular patients; fifteen articles conceptualized patient engagement as self-management. In seven articles, the provider is a multidisciplinary team. Twenty articles did not report a theoretical framework in the intervention development, and eleven did not use an intervention material. Twenty-six articles did not use a technology proxy. Outcome categories were narratively mapped into four areas: clinical, psychological, behavioral, and literacy. To date, most of the interventions are heterogeneous in the adopted methodology, measures, and outcomes considered. More attention should be given to the psychosocial characterization of patient engagement as well as the technological support. High-quality, randomized controlled trials and longitudinal studies are lacking and need to be conducted to verify the efficacy of these insights.

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Section: Discussionmentioning

confidence: 76%

Educational Interventions for Promoting Food Literacy and Patient Engagement in Preventing Complications of Type 2 Diabetes: A Systematic Review

Savarese

Sapienza

Acquati

et al. 2021

JPM

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“…However, we wish to stress the significant role IPI may play in the prediction of enacting collaborative behavior, which makes it indispensable to include in future studies that attempt to assess the outcomes of IPE and IPC, especially considering the scarce and mixed evidence on their effectiveness in terms of organizational change or patient outcomes [ 195 , 196 ]. This notwithstanding, recent reviews do seem to suggest growing and convincing evidence of IPE leading to coordinated patient-centered care and having a positive impact on patient and process outcomes [ 190 , 197 , 198 , 199 ]. If we wish to extend on this evidence base and become able to draw generalizable conclusions, then more rigorous research is required to determine which components work, when, why, and for whom in what circumstances.…”

Section: Resultsmentioning

confidence: 99%

Interprofessional Identity in Health and Social Care: Analysis and Synthesis of the Assumptions and Conceptions in the Literature

Cantaert

Pype

Valcke

et al. 2022

IJERPH

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Interprofessional identity (IPI) development is considered essential in reducing incongruency and improving interprofessional collaboration. However, noticeable differences in conceptualizations are being put forward in the literature, hindering interpretation of research findings and translation into practice. Therefore, a Concept Analysis and Critical Interpretative Synthesis of empirical research articles were conducted to explore the assumptions and conceptions of IPI. Independent literature screening by two researchers led to the inclusion and extraction of 39 out of 1334 articles. Through critical analysis, higher order themes were constructed and translated to a synthesizing argument and a conceptual framework depicting what constitutes IPI (attributes), the boundary conditions (antecedents) and the outcomes (consequences) of its development. The attributes refer to both IPI’s structural properties and the core beliefs indicative of an interprofessional orientation. The antecedents inform us on the importance of IPI-fitting constructivist learning environments and intergroup leadership in enabling its development. This development may lead to several consequences with regard to professional wellbeing, team effectiveness and the quintuple aim. Given the educational orientation of this study, ways for facilitating and assessing the development of IPI among learners across the professional continuum have been proposed, although empirical research is needed to further validate links and mediating and moderating variables.

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“…Despite the many challenges that exist, there are good reasons to pursue improved relations between chiropractors and family physicians; interprofessional collaboration among healthcare providers is associated with improved patient satisfaction and outcomes [ 65 , 66 ]. Moreover, preliminary evidence suggests that collaboration between chiropractors and physicians for shared patients may reduce use of prescription medication, including opioids, unnecessary imaging studies, and inappropriate referrals for surgical consultation [ 67 , 68 ].…”

Section: Discussionmentioning

confidence: 99%

Attitudes towards chiropractic: a repeated cross-sectional survey of Canadian family physicians

et al. 2021

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Background Many primary care patients receive both medical and chiropractic care; however, interprofessional relations between physicians and chiropractors are often suboptimal which may adversely affect care of shared patients. We surveyed Canadian family physicians in 2010 to explore their attitudes towards chiropractic and re-administered the same survey a decade later to explore for changes in attitudes. Methods A 50-item survey administered to a random sample of Canadian family physicians in 2010, and again in 2019, that inquired about demographic variables, knowledge and use of chiropractic. Imbedded in our survey was a 20-item chiropractic attitude questionnaire (CAQ); scores could range from 0 to 80 with higher scores indicating more positive attitudes toward chiropractic. We constructed a multivariable regression model to explore factors associated with CAQ scores. Results Among eligible physicians, 251 of 685 in 2010 (37% response rate) and 162 of 2429 in 2019 (7% response rate) provided a completed survey. Approximately half of respondents (48%) endorsed a positive impression of chiropractic, 27% were uncertain, and 25% held negative views. Most respondents (72%) referred at least some patients for chiropractic care, mainly due to patient request or lack of response to medical care. Most physicians believed that chiropractors provide effective therapy for some musculoskeletal complaints (84%) and disagreed that chiropractic care was beneficial for non-musculoskeletal conditions (77%). The majority agreed that chiropractic care was a useful supplement to conventional care (65%) but most respondents (59%) also indicated that practice diversity among chiropractors presented a barrier to interprofessional collaboration. In our adjusted regression model, attitudes towards chiropractic showed trivial improvement from 2010 to 2019 (0.31 points on the 80-point CAQ; 95%CI 0.001 to 0.62). More negative attitudes were associated with older age (− 1.55 points for each 10-year increment from age 28; 95%CI − 2.67 to − 0.44), belief that adverse events are common with chiropractic care (− 1.41 points; 95% CI − 2.59 to − 0.23) and reported use of the research literature (− 6.04 points; 95% CI − 8.47 to − 3.61) or medical school (− 5.03 points; 95% CI − 7.89 to − 2.18) as sources of knowledge on chiropractic. More positive attitudes were associated with endorsing a relationship with a specific chiropractor (5.24 points; 95% CI 2.85 to 7.64), family and friends (4.06 points; 95% CI 1.53 to 6.60), or personal treatment experience (4.63 points; 95% CI 2.14 to 7.11) as sources of information regarding chiropractic. Conclusions Although generally positive, Canadian family physicians’ attitudes towards chiropractic are diverse, and most physicians felt that practice diversity among chiropractors was a barrier to interprofessional collaboration.

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Impact of interprofessional collaboration on chronic disease management: Findings from a systematic review of clinical trial and meta-analysis

Cited by 44 publications

References 53 publications

Educational Interventions for Promoting Food Literacy and Patient Engagement in Preventing Complications of Type 2 Diabetes: A Systematic Review

Educational Interventions for Promoting Food Literacy and Patient Engagement in Preventing Complications of Type 2 Diabetes: A Systematic Review

Interprofessional Identity in Health and Social Care: Analysis and Synthesis of the Assumptions and Conceptions in the Literature

Attitudes towards chiropractic: a repeated cross-sectional survey of Canadian family physicians

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