title: Interprofessional teamwork and team interventions in chronic care: A systematic review.
abstract: To identify key features of teamwork and interventions for enhancing interprofessional teamwork (IPT) in chronic care and to develop a framework for further research, we conducted a systematic literature review of IPT in chronic care for the years 2002-2014. Database searches yielded 3217 abstracts, 21 of which fulfilled inclusion criteria. We identified two more studies on the topic by scanning the reference lists of included articles, which resulted in a final total of 23 included studies. The key features identified in the articles (e.g., team member characteristics, common task, communication, cooperation, coordination, responsibility, participation, staff satisfaction, patient satisfaction, and efficiency) were structured in line with the input-process-output model, and evaluated interventions, such as tools, workshops, and changes in team structure, were added to the model. The most frequently evaluated team interventions were complex intervention programs. All but one of the 14 evaluation studies resulted in enhancement of teamwork and/or staff-related, patient-related, and organization-related outcome criteria. To date, there is no consensus about the main features of IPT and the most effective team interventions in chronic care. However, the findings may be used to standardize the implementation and evaluation of IPT and team interventions in practice and for further research.
authors.affiliation: a Medical Psychology and Medical Sociology, Medical Faculty , University of Freiburg , Freiburg , Germany.
authors.forename: Mirjam
authors.initials: M
authors.lastname: Körner
authors.affiliation: b Department of Neurophysiology and Pathophysiology , University Medical Center Hamburg-Eppendorf , Hamburg , Germany.
authors.forename: Sarah
authors.initials: S
authors.lastname: Bütof
authors.affiliation: a Medical Psychology and Medical Sociology, Medical Faculty , University of Freiburg , Freiburg , Germany.|c Saarland University of Cooperative Education in Health Care and Welfare , Saarbrücken , Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Müller
authors.affiliation: d Moving Concept , Freiburg , Germany.
authors.forename: Linda
authors.initials: L
authors.lastname: Zimmermann
authors.affiliation: a Medical Psychology and Medical Sociology, Medical Faculty , University of Freiburg , Freiburg , Germany.
authors.forename: Sonja
authors.initials: S
authors.lastname: Becker
authors.affiliation: e Department of Rehabilitation Psychology and Psychotherapy , Institute of Psychology , Freiburg , Germany.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Bengel
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D003299:Cooperative Behavior; D019468:Disease Management; D006801:Humans; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D010348:Patient Care Team / Q000458:organization & administration*
keywords: Chronic care; interprofessional team; rehabilitation; review; teamwork