Table 3.
Characteristics of the models
| First author | Focus of the model | Setting | Time frame | Disciplines represented | Collaboration strategy |
|---|---|---|---|---|---|
| Cancer | |||||
| Jordhoy et al. [20] | treating, training, consulting | Hospital, GP’s, nursing homes, home care | end of life | GP, community nurse, consultant nurse, physician from PMU. | Model-responsible team meetingsa |
| Smeenk et al. [21] | treating, training, consulting | Hospital, primary care team | concurrent, end of life | Specialist nurse coordinator, oncology ward nurses + medical specialist, transmural home team with nurses from hospital + day care. | Model-responsible team meetings, protocol |
| Colombet et al. [22] | treating, consulting | Hospital | concurrent, end of life | 15 referral physicians: oncologists who prescribe chemotherapy, of whom 2 have been trained in PC fundamentals. MDT: PCT and oncology staff. PCT: PC specialists, nurses, secretary assistant, psychologist. Oncology staff: physicians, nurses, head nurses, social workers, psychologists, secretaries. | Model-responsible team + additional experts meetingb |
| Schreml, et al. [23] | treating, training, consulting | Hospital | concurrent, end of life | Physicians and nurses. | Model-responsible team meetings |
| End-of-life (Liverpool Care Pathway) | |||||
| Constantini et al. [24] | treating, training | Hospital | end of life | PCT: 2 physicians, 3 nurses, 2 psychologists. | protocol |
| LCP training: nurses and physicians of the hospital wards. | |||||
| Veerbeek et al. [25] | treating | Hospital, nursing home and home | end of life | Physicians and nurses. | Model-responsible team meetings, protocol |
| Malignant and Non-malignant Disease | |||||
| Grande et al. [26] | treating | Home | end of life | Six qualified nurses, 2 nursing auxiliaries, CHAH coordinator, agency nursing care. | Model-responsible team meetings |
| Vicente et al.[27] | treating | Hospital, home | end of life | PC home team as an MDT comprised by physicians, nurses, nurse assistants, and administrative assistants, social workes, psychologists. | Model-responsible team meetings |
| Dementia | |||||
| Sampson et al. [28] | treating, training, consulting | Hospital, home | end of life | Senior nurse experienced in dementia and trained in PC; clinical MDT. | Model-responsible team meetings |
| Multiple Sclerosis | |||||
| Higginson et al. [29] | treating, consulting | Home, hospital outpatient clinic, care homes, hospital | concurrent | Part-time PC medicine consultant, 1 part-time clinical nurse specialist, 1 administrator, 1 psychosocial worker. | Model-responsible team meetings |
| Edmonds et al. [30] | treating, consulting | Home, hospital outpatient clinics, care homes, hospital | concurrent | Part-time consultant in PC Medicine with specialist interest in neurological conditions, part-time clinical nurse specialist, full time administrator. | Model-responsible team + additional experts meeting |
| HIV/AIDS | |||||
| Koffman et al. [31] | treating, consulting | Hospice, home | end of life | Nurses trained in PC; bank nurses for night-sitting; 2 PC medicine consultants. | Model-responsible team + additional experts meeting |
| Chronic Heart Failure | |||||
| Pattenden et al. [32] | treating, consulting | Homes, hospice, ‘care of the elderly’ wards | concurrent, end of life | Heart Failure nurse specialists, MCN nurses, MCN health care assistants, cardiology, ‘care for the elderly’ consultants, district nurses, GPs. | Model-responsible team + additional experts meeting, protocol |
| Advanced Chronic Disease | |||||
| Navarro et al. [33] | treating | Hospital | concurrent | The MDT consists of physicians, head nurse, ward nurses, auxiliary nurses, collaborating with a dietician, psychologist, social worker, rehabilitation physician, physiotherapist, occupational therapist and speech therapist. | Model-responsible team + additional experts meeting |
Table 3 describes five characteristics of the included studies: the focus of the model, the setting, the time frame of the model, the functions represented, and collaboration strategy involved
PC palliative care, GP general practitioner, PMU palliative medicine unit, PCT palliative care team, MDT multidisciplinary team, LCP Liverpool Care Pathway, MNC Marie Curie Cancer Care, CHAH Cambridge hospital at home service, ESAD Home Care Support Team, MDM multidisciplinary meetings
ameetings of the team that is involved in the implementation of the model
bmeetings between the team responsible for the implementation of the model and other disciplines involved in the treatment of the patient