Interdisciplinary rather than multidisciplinary or generic practice

Mandy, Philip

doi:10.12968/bjtr.1996.3.2.14871

Cited by 20 publications

(11 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A multidisciplinary team model utilizes the skills of individuals from different disciplines, but each discipline still approaches the patient from their own perspective and usually the physician communicates with the other professionals in the team (8,20). Indeed, in many instances, team members may not directly communicate with one another at all.…”

Section: Types Of Teamsmentioning

confidence: 99%

“…It is important in times of economic austerity for such services to show the benefit of interdisciplinary working for both patients and staff. Interdisciplinary working has been shown to improve job satisfaction as well as outcomes (20,58). User and relatives satisfaction surveys/questionnaires can also provide useful feedback to a service and to the IDT.…”

Section: Interdisciplinary Team Meetingsmentioning

confidence: 99%

See 1 more Smart Citation

The role of Interdisciplinary Teams in Physical and Rehabilitation Medicine

Singh

Küçükdeveci²,

Grabljevec³

et al. 2018

J Rehabil Med

View full text Add to dashboard Cite

The increasing complexity of healthcare provision and medical interventions requires collaboration between large numbers of health professionals. The nature of the interactions between team members determines whether the pattern of working is described as multi-, inter- or trans-disciplinary. Such team-working is an important part of the specialty of Physical and Rehabilitation Medicine. Grounded in group behaviour theory, team-working demonstrates that joint aims, trust and willingness to share knowledge, can improve patient outcomes, including mortality. The synthesis of individual skills and knowledge and working to common patient goals, has shown benefit in many conditions. This evidence base is perhaps best in stroke, but has been demonstrated in many other conditions, including acquired brain injury, back pain, mental health, cardiopulmonary conditions, chronic pain and hip fracture. There are also considerable benefits to staff and health organizations in terms of outcome and staff morale. This review paper examines the evidence for the benefit of such team-working and for the recommendations of team-working in rehabilitation services.

show abstract

Section: Types Of Teamsmentioning

confidence: 99%

Section: Interdisciplinary Team Meetingsmentioning

confidence: 99%

The role of Interdisciplinary Teams in Physical and Rehabilitation Medicine

Singh

Küçükdeveci²,

Grabljevec³

et al. 2018

J Rehabil Med

View full text Add to dashboard Cite

show abstract

“…32 , 33 , 35 Disciplinary articulation within IDTs is also important; here, team members develop understanding of each other’s roles and recognize where overlap occurs. 33 , 35 , 36 This understanding and acceptance of blurring of role boundaries facilitates rapid information exchange, enables early interventions, and underpins effective rehabilitation in secondary care, in early supported discharge (ESD) schemes and in longer term stroke care in the community settings. 21 , 37 , 38 A more integrated and effective approach to working together is claimed for IDTs, 32 , 33 , 35 , 36 which are more likely to be effective when team members function as equals, with respect for the skills and knowledge brought by each.…”

Section: Multidisciplinary and Interdisciplinary Teams In Stroke Servmentioning

confidence: 99%

Improving post-stroke recovery: the role of the multidisciplinary health care team

Clarke¹,

Forster²

2015

JMDH

151

105

View full text Add to dashboard Cite

Stroke is a leading cause of serious, long-term disability, the effects of which may be prolonged with physical, emotional, social, and financial consequences not only for those affected but also for their family and friends. Evidence for the effectiveness of stroke unit care and the benefits of thrombolysis have transformed treatment for people after stroke. Previously viewed nihilistically, stroke is now seen as a medical emergency with clear evidence-based care pathways from hospital admission to discharge. However, stroke remains a complex clinical condition that requires health professionals to work together to bring to bear their collective knowledge and specialist skills for the benefit of stroke survivors. Multidisciplinary team working is regarded as fundamental to delivering effective care across the stroke pathway. This paper discusses the contribution of team working in improving recovery at key points in the post-stroke pathway.

show abstract

“…This is largely because of the above-mentioned effect of session allocation on patient availability but is also because of departmental co-operation in the provision of sessions. This is when therapists from more than one department provide treatment to a patient and is an example of inter-disciplinary teamwork (see Mandy, 1996). Such sessions are typically scheduled and added to the PTO by a department whose turn it is to timetable.…”

Section: Figure 31 Treatment Scheduling Process For the Preparation mentioning

confidence: 99%

Modelling activities at a neurological rehabilitation unit

Griffiths

Williams

Wood

2013

European Journal of Operational Research

View full text Add to dashboard Cite

DeclarationThis work has not previously been accepted in substance for any degree and is not concurrently being submitted in candidature for any degree. Signed:Date: Statement 1This thesis is the result of my own investigations, except where otherwise stated. Other sources are acknowledged by giving explicit references. A bibliography is appended. Signed:Date: Statement 2I hereby give consent for my thesis, if accepted, to be available for photocopying and interlibrary loan, and for the title and summary to be made available to outside organisations. SummaryA queuing model is developed for the neurological rehabilitation unit at Rookwood Hospital in Cardiff. Arrivals at the queuing system are represented by patient referrals and service is represented by patient length of stay (typically five months). Since there are often delays to discharge, length of stay is partitioned into two parts: admission until date ready for discharge (modelled by Coxian phase-type distribution) and date ready for discharge until ultimate discharge (modelled by exponential distribution). The attributes of patients (such as age, gender, diagnosis etc) are taken into account since they affect these distributions. A computer program has been developed to solve this multi-server (21 bed) queuing system to produce steady-state probabilities and various performance measures.However, early on in the project it became apparent that the intensity of treatment received by patients has an effect on the time, from admission, until they are ready for discharge. That is, the service rates of the Coxian distribution are dependent on the amount of therapy received over time. This directly relates to the amount of treatment allocated in the weekly timetables. For the physiotherapy department, these take about eight hours to produce each week by hand. In order to ask the valuable what-if questions that relate to treatment intensity, it is therefore necessary to produce an automated scheduling program that replicates the manual assignment of therapy. The quality of timetables produced using this program was, in fact, considerably better than its alternative and so replaced the by-hand approach. Other benefits are more clinical time (since less employee input is required) and a convenient output of data and performance measures that are required for audit purposes.Once the model is constructed a number of relevant hypothetical scenarios are considered.Such as, what if delays to discharge are reduced by 50%? Also, through the scheduling program, the effect of changes to the composition of staff or therapy sessions can be evaluated, for example, what if the number of therapists is increased by one third? The effects of such measures are analysed by studying performance measures (such as throughput and occupancy) and the associated costs.

show abstract

Interdisciplinary rather than multidisciplinary or generic practice

Cited by 20 publications

References 9 publications

The role of Interdisciplinary Teams in Physical and Rehabilitation Medicine

The role of Interdisciplinary Teams in Physical and Rehabilitation Medicine

Improving post-stroke recovery: the role of the multidisciplinary health care team

Modelling activities at a neurological rehabilitation unit

Contact Info

Product

Resources

About