Effects of an internal medicine floor interdisciplinary team on hospital and clinical outcomes of seniors with acute medical illness

Ji Won Yoo, Sulgi Kim, Haesun Seol, Sun Jung Kim, Janet Miyoung Yang, Woo Sang Ryu, Too Jae Min, Jong Bum Choi, Minkyung Kwon, Shunichi Nakagawa

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Aim: 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. Geriatr Gerontol Int 2013; 13: 942-948.

Original languageEnglish
Pages (from-to)942-948
Number of pages7
JournalGeriatrics and Gerontology International
Volume13
Issue number4
DOIs
Publication statusPublished - 2013 Oct

Keywords

  • Clinical education
  • Geriatric assessment
  • Hospital medicine
  • Interdisciplinary team
  • Quality improvement

ASJC Scopus subject areas

  • Health(social science)
  • Gerontology
  • Geriatrics and Gerontology

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