ORIGINAL ARTICLE: EPIDEMIOLOGY, CLINICAL PRACTICE AND HEALTH
Effects of an internal medicine floor interdisciplinary team on hospital and clinical outcomes of seniors with acute medical illness
Article first published online: 26 FEB 2013
© 2013 Japan Geriatrics Society
Geriatrics & Gerontology International
Volume 13, Issue 4, pages 942–948, October 2013
How to Cite
Yoo, J. W., Kim, S., Seol, H., Kim, S. J., Yang, J. M., Ryu, W. S., Min, T. J., Choi, J. B., Kwon, M. and Nakagawa, S. (2013), Effects of an internal medicine floor interdisciplinary team on hospital and clinical outcomes of seniors with acute medical illness. Geriatrics & Gerontology International, 13: 942–948. doi: 10.1111/ggi.12035
- Issue published online: 16 OCT 2013
- Article first published online: 26 FEB 2013
- Manuscript Accepted: 11 DEC 2012
- American Geriatrics Society
- Ministry of Education, Science and Technology, Republic of Korea
- clinical education;
- geriatric assessment;
- hospital medicine;
- interdisciplinary team;
- quality improvement
To examine whether an internal medicine interdisciplinary floor team enhances the hospital and clinical outcomes for seniors with acute medical illness.
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.
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.
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. Geriatr Gerontol Int 2013; 13: 942–948.