Table 6.
Enablers to Communication Between Hospital Allied Health and Primary Care
| Study | MDT Care Plan | Follow-Up | Involve Patient and Caregiver | Health IT | Other Enablers |
|---|---|---|---|---|---|
| Allen et al, 200436 | Yes | Yes | Yes | Yes | MDT decision support and evidence-based protocols for PCP. |
| Baker & Wellman, 200550 | Yes | Yes | No | No | Dietician as care managers, contributing to discharge planning. |
| Bleijlevens et al, 200851 | Yes | Yes | Yes | No | Check if PCP agrees with hospital plan, check patient calls PCP. |
| Christie et al, 201652 | Yes | No | Yes | Yes | Provide PCP a range of ‘normal’ post-surgical consequences. |
| Dossa et al, 201253 | Yes | Yes | Yes | Yes | Primary care allied health support patient & PCP communication. |
| Fleiger et al, 201937 | Yes | Yes | Yes | Yes | SW as ‘boundary spanners’ across healthcare organizations. |
| Hansson et al, 201754 | Yes | Yes | Yes | Yes | ‘Project leader’ to direct care plan. |
| Hawes et al, 20185 | Yes | Yes | Yes | Yes | MDT outpatient transition program based in primary care practice. |
| Hesselink et al, 201438 | Yes | Yes | Yes | Yes | Patient coaching to assert a more active role in own care plan. |
| Holmes et al, 201639 | Yes | Yes | Yes | No | Allied health service (SW and PT) in an Emergency Department. |
| Hsiao et al, 201840 | Yes | Yes | Yes | Yes | Telephone call from hospital to PCP. Patient access phone line. |
| Ivanoff et al, 201855 | Yes | Yes | Yes | Yes | Clear care plans built by MDT, family and all involved caregivers. |
| Johannessen & Steihaug, 201356 | Yes | No | Yes | Yes | Patients and PCP attend hospital discharge meetings |
| Kind et al, 201157 | Yes | Yes | No | Yes | Shift in the medical focus of discharge summary. |
| Massy-Westropp et al, 200541 | Yes | No | No | Yes | Automated staff access to EMR patient information, alert system. |
| Mc Ainey et al, 201642 | Yes | Yes | Yes | No | Supported PCP appointment so patient understands care plan. |
| Miller et al, 201943 | Yes | Yes | Yes | Yes | SW care coordinator with focus on social determinants of health. |
| Rowlands et al, 201258 | Yes | Yes | No | Yes | Guidelines for how, when & by whom communication happens. |
| Rydeman & Tonkvist, 200659 | Yes | Yes | Yes | Yes | Identification of shared care team values and purpose. |
| Tang et al, 201760 | Yes | Yes | Yes | No | PCP education regarding memory deficits after stroke. |
| Thomas & Siaki, 201744 | Yes | Yes | Yes | Yes | Script and algorithm to frame follow up phone calls to patient. |
| Trankle et al, 201945 | Yes | Yes | Yes | Yes | Guidelines & support phone line for PCP. IT training. |
| Wilson K et al, 200561 | Yes | Yes | No | No | Nurse practitioner collaborating with PCP and allied health. |
| Wilson S et al, 200446 | Yes | No | No | Yes | Shared hospital & community MDT by videoconference. |
| Total agreement | 100% | 83% | 75% | 75% |
Abbreviations: PCP, primary Ccare practitioner; MDT, multidisciplinary team; OT, occupational therapist; PT, physiotherapist; SLP, speech & language pathologist; SW, social worker; IT, information technology; EMR, electronic medical record.