Table 2.
Reporting of the 10 key features of multidisciplinary team meetings in primary care, when managing the care of individuals living with multimorbidity.
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FACTOR | DESCRIPTION | APPEARS IN STUDIES |
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Definition | Periodic gathering of different professionals who provide care for the multimorbid patients; for transdisciplinary discussion and adoption of clinical/and or organisational decisions | NR |
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Ideal setting | Meeting room (or another room with appropriate conditions) | NR |
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Duration | Less than 60 minutes, not exceeding 120 minutes in length | NR |
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Frequency | Every 2 weeks – dependant on number and complexity of multimorbid patients. Should not exceed a one-month interval | [23,24,25,26,27] |
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Number of participants | All the necessary players, considering the capacity of the room | [23,24,25,26,27] |
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Professional presence | Family physicians should always be present. Other health professionals should also be present: hospital doctors, nurses, social worker, psychologist, physiotherapist, pharmacist, and nutritionist. | [23,24,25,26,27] |
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Patient presence | Normally not, except if necessary to expose the clinical case or if the estimated treatment burden imposes the need for the patient’s presence to decide therapeutic options | [23,24,25,26,27] |
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Number of patient cases to address per meeting | Due to the complexity of the multimorbid patient, approach up to two clinical cases per meeting. This number will vary depending on the team’s experience in dealing with multimorbidity and the frequency and the duration of the meetings. | NR |
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Structure | A chairman of these meetings should be appointed to identify, leading the meeting. Each case should be presented by the family doctor or nurse, listing difficulties/doubts in management, followed by a discussion and a final definition of the consensus interventions. A facilitator is assigned. | NR |
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Dissemination | The results of the meeting regarding the management of the patients should be shared with all care providers in an effective and tailored way for each health professional, the patient, or their caregiver. | NR |
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The common themes between the studies reported regarding the multidisciplinary team meetings that took place within the intervention, sorted by the factors that contribute to an efficient multidisciplinary team meeting for patients with multimorbidity, based in primary care [22]. Abbreviations: NR; not reported.