title: Multiprofessional teamwork in work-related medical rehabilitation for patients with chronic musculoskeletal disorders.
abstract: OBJECTIVE
  Systematic reviews indicate the effectiveness of multimodal rehabilitation. In Germany this has been shown, in particular, for work-related medical rehabilitation. A recently published guideline on work-related medical rehabilitation supports the dissemination of these programmes. The feasibility of this guideline was examined in a multicentre study. This paper presents findings on the relevance of multiprofessional teamwork for the implementation of successful work-related medical rehabilitation.
  
  
  METHODS
  Focus groups were conducted with 7 inpatient orthopaedic rehabilitation teams and examined using qualitative content analysis.
  
  
  RESULTS
  Multiprofessional teamwork emerged inductively as a meaningful theme. All teams described multiprofessional teamwork as a work-related medical rehabilitation success factor, referring to its relevance for holistic treatment of multifactorially impaired patients. Although similar indicators of successful multiprofessional teamwork were named, the teams realized multiprofessional teamwork differently. We found 3 team types, corresponding to multidisciplinary, interdisciplinary and transdisciplinary team models. These types and models constitute a continuum of collaborative practice, which seems to be affected by context-related factors.
  
  
  CONCLUSIONS
  The significance of multiprofessional teamwork for successful multimodal rehabilitation was underlined. Indicators of ideal multiprofessional teamwork and contextual facilitators were specified. The contingency approach to teamwork, as well as the assumption of multiprofessional teamwork as a continuum of collaborative practice, is supported. Stronger consideration of multiprofessional teamwork in the work-related medical rehabilitation guideline is indicated.
authors.affiliation: Department of Rehabilitation Medicine, Medical School Hannover, 30625 Hannover, Germany. schwarz.betje@mh-hannover.de, betje.schwarz@uksh.de, Betje.Schwarz@uksh.de.
authors.forename: Betje
authors.initials: B
authors.lastname: Schwarz
authors.forename: Silke
authors.initials: S
authors.lastname: Neuderth
authors.forename: Christoph
authors.initials: C
authors.lastname: Gutenbrunner
authors.forename: Matthias
authors.initials: M
authors.lastname: Bethge
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003299:Cooperative Behavior; D005240:Feasibility Studies; D017144:Focus Groups; D005858:Germany; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D009786:Occupational Health Services / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D012047:Rehabilitation Centers / Q000458:organization & administration