Document Detail


Interprofessional teamwork in medical rehabilitation: a comparison of multidisciplinary and interdisciplinary team approach.
MedLine Citation:
PMID:  20530646     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To compare multi- and interdisciplinary team approaches concerning team process (teamwork) and team effectiveness (team performance and staff satisfaction) in German medical rehabilitation clinics.
DESIGN: A cross-sectional study with a descriptive-explorative design. Setting: Eighteen medical rehabilitation clinics divided into two groups (somatic and psychosomatic indication fields).
SUBJECTS: The 18 head physicians or psychotherapists in the clinics and their complete rehabilitation teams (n = 824).
MAIN MEASURES: An interview guide was designed to determine the team approach in a telephone interview. A staff questionnaire for team members measured teamwork and team effectiveness with psychometrically validated questionnaires and self-administered items.
RESULTS: All 18 head physicians took part in the telephone interview. The response rate of the employee attitude survey averaged 46% (n = 378). Eight teams were categorized as multidisciplinary and seven teams as interdisciplinary. In three cases the results were ambiguous. These teams were not considered in the further study. As expected, the interdisciplinary team approach showed significantly better results for nearly all aspects of teamwork and team effectiveness in comparison with the multidisciplinary team approach. The differences between multi- and interdisciplinary approach concerning teamwork and team effectiveness were higher in the somatic (8 teams, n = 183) than in the psychosomatic indication fields (7 teams, n = 195).
CONCLUSIONS: Teamwork and team effectiveness are higher in teams working with the interdisciplinary team approach. Therefore the interdisciplinary approach can be recommended, particularly for clinics in the somatic indication field. Team development can help to move from the multidisciplinary to the interdisciplinary approach.
Authors:
Mirjam Körner
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Publication Detail:
Type:  Journal Article     Date:  2010-06-08
Journal Detail:
Title:  Clinical rehabilitation     Volume:  24     ISSN:  1477-0873     ISO Abbreviation:  Clin Rehabil     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  745-55     Citation Subset:  IM    
Affiliation:
Department of Medical Psychology and Sociology, University of Freiburg, Germany. mirjam.koerner@medsoz.uni-freiburg.de
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