title: Effects of an internal medicine floor interdisciplinary team on hospital and clinical outcomes of seniors with acute medical illness.
abstract: OBJECTIVE
  To examine whether an internal medicine interdisciplinary floor team enhances the hospital and clinical outcomes for seniors with acute medical illness.
  
  
  METHODS
  Seniors admitted to medical floor teaching services of a USA teaching hospital were recruited and allocated to the interdisciplinary (ITD; n = 236) and usual care teams (n = 248). Compared with the usual care team, the interdisciplinary team physicians carried out daily "geriatric" assessment and management, and led the interdisciplinary team meeting designed for improving interprofessional collaboration.
  
  
  RESULTS
  After controlling for patient and physician characteristics, the mean hospital length of stay in the ITD team (6.1 days; 95% CI 5.2-7.7 days) was 0.7 days shorter than that in the usual care team (6.8 days; 95% CI 5.7-8.3 days; P = 0.008). There was no significant difference in delirium and 30-day hospital readmission between care groups.
  
  
  CONCLUSIONS
  Notwithstanding partly positive associations, the results from the present study suggest that interdisciplinary team-based care is, at best, associated with enhancing the clinical and hospital outcomes for seniors with acute medical illness.
authors: Department of Internal Medicine and Institute of Gerontology, University of Michigan Medical School, Michigan, USA; Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
authors: Ji Won
authors: JW
authors: Yoo
authors: Sulgi
authors: S
authors: Kim
authors: Haesun
authors: H
authors: Seol
authors: Sun Jung
authors: SJ
authors: Kim
authors: Janet Miyoung
authors: JM
authors: Yang
authors: Woo Sang
authors: WS
authors: Ryu
authors: Too Jae
authors: TJ
authors: Min
authors: Jong Bum
authors: JB
authors: Choi
authors: Minkyung
authors: M
authors: Kwon
authors: Shunichi
authors: S
authors: Nakagawa
mesh_terms: D000208:Acute Disease / Q000628:therapy*; D000369:Aged, 80 and over; D005260:Female; D006760:Hospitalization; D006801:Humans; D007388:Internal Medicine; D008297:Male; D010348:Patient Care Team; D016896:Treatment Outcome
keywords: clinical education; geriatric assessment; hospital medicine; interdisciplinary team; quality improvement