TY - JOUR
T1 - Combined interprofessional and intraprofessional clinical collaboration reduces length of stay and consultations
T2 - a retrospective cohort study on an intensive collaboration ward (ICW)
AU - de Gans, Simon
AU - Penturij-Kloks, Monique
AU - Scheele, Fedde
AU - van de Pol, Marjolein
AU - van der Zwaard, Babette
AU - Keijsers, Carolina
N1 - Publisher Copyright: © 2022 Taylor & Francis Group, LLC.
PY - 2022
Y1 - 2022
N2 - Patients with multiple health problems are a growing population at high risk of receiving fragmented care, resulting in a poorer quality of care, preventable hospitalisations, and higher costs. Health agencies such as the World Health Organization (WHO) advocate the implementation of interprofessional care, which should lead to better patient care. This retrospective cohort study investigated the effect of combined interprofessional and intraprofessional collaboration on the management of mainly elderly patients with multiple health problems on an Intensive Collaboration Ward (ICW). Patient health outcomes, patient experience, and the cost and value of care were assessed. In total, 200 patients admitted to the ICW were compared with 51 control patients with an indication for the ICW who were admitted to a regular ward because of a shortage of ICW beds. Patients admitted to the ICW had a shorter length of hospital stay than control patients (median 5 vs 7 days, p = .004) and had fewer in-hospital consultations (p = .003). Patient satisfaction did not differ between the ICW and control patients (mean rating (1–10) 8.22 vs 8.75, p = .060). This study indicates that interprofessional and intraprofessional clinical collaboration reduces the length of hospital stay and the number of in-hospital consultations, without affecting patient satisfaction.
AB - Patients with multiple health problems are a growing population at high risk of receiving fragmented care, resulting in a poorer quality of care, preventable hospitalisations, and higher costs. Health agencies such as the World Health Organization (WHO) advocate the implementation of interprofessional care, which should lead to better patient care. This retrospective cohort study investigated the effect of combined interprofessional and intraprofessional collaboration on the management of mainly elderly patients with multiple health problems on an Intensive Collaboration Ward (ICW). Patient health outcomes, patient experience, and the cost and value of care were assessed. In total, 200 patients admitted to the ICW were compared with 51 control patients with an indication for the ICW who were admitted to a regular ward because of a shortage of ICW beds. Patients admitted to the ICW had a shorter length of hospital stay than control patients (median 5 vs 7 days, p = .004) and had fewer in-hospital consultations (p = .003). Patient satisfaction did not differ between the ICW and control patients (mean rating (1–10) 8.22 vs 8.75, p = .060). This study indicates that interprofessional and intraprofessional clinical collaboration reduces the length of hospital stay and the number of in-hospital consultations, without affecting patient satisfaction.
KW - Collaboration
KW - interprofessional
KW - intraprofessional
KW - multimorbidity
KW - older patients
UR - http://www.scopus.com/inward/record.url?scp=85142194428&partnerID=8YFLogxK
U2 - https://doi.org/10.1080/13561820.2022.2137117
DO - https://doi.org/10.1080/13561820.2022.2137117
M3 - Article
C2 - 36373200
SN - 1356-1820
JO - Journal of Interprofessional Care
JF - Journal of Interprofessional Care
ER -