Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Abstract

This systematic review aims to identify what rehabilitation care networks, within primary care or between primary and other health care settings, have been described for patients with chronic musculoskeletal pain, and what their impact is on the Quadruple Aim outcomes (health; health care costs; quality of care experienced by patients; work satisfaction for health care professionals). Studies published between 1 January 1994 and 11 April 2019 were identified in PubMed, CINAHL, Web of Science, and PsycInfo. Forty-nine articles represented 34 interventions: 21 within primary care; 6 between primary and secondary/tertiary care; 1 in primary care and between primary and secondary/tertiary care; 2 between primary and social care; 2 between primary, secondary/tertiary, and social care; and 2 between primary and community care. Results on impact were presented in 19 randomized trials, 12 non-randomized studies, and seven qualitative studies. In conclusion, there is a wide variety of content, collaboration, and evaluation methods of interventions. It seems that patient-centered interdisciplinary interventions are more effective than usual care. Further initiatives should be performed for interdisciplinary interventions within and across health care settings and evaluated with mixed methods on all Quadruple Aim outcomes.

Relationship between nurses' perceptions of the benefits/challenges of nursing and degree of interprofessional and intraprofessional collaboration in all‐inclusive services combining day services, overnight stays and home‐visit nursing for the older people living at home

“…This suggested that teams in which members (regardless of their profession) favorably communicated with each other and shared goals could achieve sufficient effects of care while reducing related challenges. These results supported those of previous studies that showed that interprofessional collaboration improved the quality of care for users 9,10 . A previous study showed that psychological safety strengthened the relationships among hospital nurses 19 .…”

“…These results supported those of previous studies that showed that interprofessional collaboration improved the quality of care for users. 9,10 A previous study showed that psychological safety strengthened the relationships among hospital nurses. 19 In this study, some nurses perceived there to be lower "Difficulty of cooperation among nurses because of differences in attitudes" when cooperation among nurses was stronger, which suggested that psychological safety among nurses strengthened cooperation and decreased the perceived difficulty in cooperation.…”

“…In the primary care context, interprofessional collaboration has been reported to improve pain care 9 . In addition, patient‐centered interdisciplinary interventions appear to be more effective than usual care 10 . Nursing and care services in MLSH are flexibly combined and provided according to the condition and needs of individual users.…”

“… 9 In addition, patient‐centered interdisciplinary interventions appear to be more effective than usual care. 10 Nursing and care services in MLSH are flexibly combined and provided according to the condition and needs of individual users. Collaboration among MLSH nurses and external physicians and care managers is also required, with interprofessional and intraprofessional collaboration being likely to become increasingly important.…”

Comprehensive rehabilitation outcome measurement scale (CROMS): development and preliminary validation of an interdisciplinary measure for rehabilitation outcomes

“…Rehabilitation may be defined as the multi and interdisciplinary management of a person's functioning and health [ 34 , 60 , 68 ]. The interdisciplinary team consists of professionals including physiotherapists (PT), occupational therapists (OT), speech and language pathologists (SLP), clinical psychologists (CP), medical social workers (MSW), registered nurses (RN), medical doctors (MD) working in concert with the patient and family.…”