Heart transplant centers with multidisciplinary team show a higher level of chronic illness management – Findings from the International BRIGHT Study
| Autor: | Kris Denhaerynck, Albert Groenewoud, Sandra Cupples, Annemarie Kaan, Christiane Kugler, Eva Horvath, Javier Segovia-Cubero, Paolo De Simone, Paul Mohacsi, Andrew Kao, Eva Baumgartner, Ashi Firouzi, Bernice Coleman, Samira Scalso de Almeida, Linda Ohler, Joanne Maddicks-Law, Gareth Parry, Ugolino Livi, Haissam Haddad, María G. Crespo-Leiro, Karyn Ryan Canales, M. Harkess, Gabriele Berger, Kristin Ludrosky, Johan Van Cleemput, Jacqueline Trammell, Andrée Bernard, Katherine St. Clair, V. Manfredini, Christine Vetter, Maan Isabella Cajita, L. Sebbag, Vicens Brossa-Loidi, Grant Fisher, Tara Miller, Maria Molina, Cynthia L. Russell, Remon Helmy, Sandra Schönfeld, Andrea Cotait Ayoub, Carmen Segura Saint-Gerons, Lut Berben, Andreas O. Doesch, Magali Michel, Fernanda Barone, Maureen Flattery, Luis Almenar-Bonet, Fabienne Dobbels, Cheryl Riotto, Alain Poncelet, S. Kozuszko, Sabina De Geest |
|---|---|
| Přispěvatelé: | UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, UCL - (SLuc) Centre du cancer, UCL - (SLuc) Département cardiovasculaire |
| Rok vydání: | 2017 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine education Pharmacist Heart transplantation 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine Multidisciplinary team 03 medical and health sciences 0302 clinical medicine Nursing Chronic illness management Multidisciplinary approach Secondary analysis Humans Medicine 030212 general & internal medicine Patient Care Team Social work business.industry Disease Management Middle Aged Structural factor Cross-Sectional Studies Chronic Disease Multivariate Analysis Female Multidisciplinary teams Delivery of Health Care Heart Transplantation Cardiology and Cardiovascular Medicine business Physical therapist |
| Zdroj: | Heart & lung : the journal of critical care, Vol. 46, no.5, p. 351-356 (2022) |
| ISSN: | 0147-9563 |
| Popis: | OBJECTIVES: The objectives of this study were to: (1) explore the proportion of HTx centers that have a multidisciplinary team and (2) assess the relationship between multidisciplinarity and the level of chronic illness management (CIM). BACKGROUND: The International Society for Heart and Lung Transplantation (ISHLT) recommends a multidisciplinary approach in heart transplant (HTx) follow-up care but little is known regarding the proportion of HTx centers that meet this recommendation and the impact on patient care. HTx centers with a multidisciplinary team may offer higher levels of CIM, a care model that has the potential to improve outcomes after HTx. METHODS: We conducted a secondary analysis of the BRIGHT study, a cross-sectional study in 11 countries. Multidisciplinarity in the 36 HTx centers was assessed through HTx director reports and was defined as having a team that was composed of physician(s), nurse(s), and another healthcare professional (either a social worker, psychiatrist, psychologist, pharmacist, dietician, physical therapist, or occupational therapist). CIM was assessed with the Patient Assessment of Chronic Illness Care (PACIC). Multiple linear regression assessed the relationship between multidisciplinarity and the level of CIM. RESULTS: Twenty-nine (80.6%) of the HTx centers had a multidisciplinary team. Furthermore, multidisciplinarity was significantly associated with higher levels of CIM (β = 5.2, P = 0.042). CONCLUSION: Majority of the HTx centers follows the ISHLT recommendation for a multidisciplinary approach. Multidisciplinarity was associated with CIM and point toward a structural factor that needs to be in place for moving toward CIM. ispartof: Heart & Lung vol:46 issue:5 pages:351-356 ispartof: location:United States status: published |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect