Table 1.
Features of multidisciplinary teams and multidisciplinary team meetings
| Team 1 (N = 11) | Team 2 (N = 9) | Team 3 (N = 13) | Team 4 (N = 11) | |
|---|---|---|---|---|
| Caregivers, attending focus-group interviews | 1 GP | 1 GP | 1 GP | 2 GPs |
| 1 practice nurse | 3 community nurses | 2 practice nurses | 2 practices nurses | |
| 3 community nurses | 2 NHPSs | 3 community nurses | 2 community nurses | |
| 2 physiotherapists | 1 occupational therapist | 1 mental health nurse | 2 NHPSs | |
| 1 occupational therapist | 1 welfare worker | 2 physiotherapists | 2 welfare workers | |
| 2 welfare workers | 1 health broker | 1 welfare worker | 1 centre manager | |
| 1 dietician | 1 health broker | |||
| Service area multidisciplinary team | 4800 patients | 2150 patients | 7000 patients | 38,000 patients |
| Demographic features | Village with 22,555 inhabitants, 15% = 65+ years | Deprived neighbourhood in a medium-sized city with 168,292 inhabitants, 14% = 65+ years | Commuters; neighbourhood with old village centre in medium-sized city with 168,292 inhabitants, 14% = 65+ years | Small town with 41,775 inhabitants, 15% = 65+ years |
| GP setting | General practice | General practice | Health centre | Health centre |
| Features of the MTM | ||||
| Date of foundation | 2014 | 2011 | 1961 | 2011 |
| MTM chairperson | GP | GP | GP | NHPS |
| Target group | Frail older people, 65+ years | Frail older people, 75+ years, exceptions allowed | Frail older people, 70+ years, exceptions allowed | Frail older people, 65+ years |
| Submission of cases | Screening | Screening | Case-finding | Case-finding |
| Follow-up | Case manager, care plan | Case manager, care plan, minutes, EPR, Care and Welfare Information Portal (ZWIP) | Case manager, minutes, EPR, Care and Welfare Information Portal (ZWIP) | Care plan, EPR |
| Funding | Research subsidy | Care programme by health insurer | Health insurer, funding for health centres | Research subsidy, local community health services |
| Coordination | Practice nurse | Community nurse | Practice nurse | Practice nurse |
| Frequency | 1 × 3 months | 1 × month | 1 × month | On indication |
EPR electronic patient record, GP general practitioner, MTM multidisciplinary team meeting, NHPS nursing home physician specialist, ZWIP Zorg- en WelzijnsInfoPortaal