Developing an interprofessional people-centred care model for home-living older people with multimorbidities in a primary care health centre: A community-based study

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“…Among the 10 articles accepted, two articles were intervention studies (randomized controlled trials/RCT) (Luger et al, 2016;Mirmolaei et al, 2014), two articles were cross-sectional studies (Flores-Quispe et al, 2022;Nsibande et al, 2013), three articles were cohort studies (retrospective cohort dan population-based retrospective cohort) (Gu et al, 2016;Jones et al, 2020;Misra-Hebert et al, 2021) and three articles were qualitative studies (Campos et al, 2014;Kari et al, 2022;Silverman et al, 2018). In the RCT targeting postpartum mothers, the intervention group received health care through home visits by midwives, while the control group was only given services at health facilities (Mirmolaei et al, 2014).…”

“…Various countries implement varying home visits' scope of services and providers. The scope of services in this review is categorized based on the life cycle, specifically maternal and child health (Flores-Quispe et al, 2022;Mirmolaei et al, 2014;Nsibande et al, 2013), productive age and the elderly (Gu et al, 2016;Jones et al, 2020;Kari et al, 2022;Luger et al, 2016;Misra-Hebert et al, 2021;Silverman et al, 2018), and life-cycle approach (Campos et al, 2014). The home visits are mostly conducted by community health workers and nurses, followed by doctors, midwives, and multidisciplinary teams.…”

“…In the intervention group, volunteers assisted physical training to improve muscle strength and provided nutrition interventions through counselling to improve dietary patterns, ensuring good intake in the elderly. In Finland, home visits for elderly patients with multimorbidity involved a multidisciplinary team consisting of doctors, nurses and pharmacists (Kari et al, 2022). The service process began with a self-management evaluation questionnaire, followed by patients interviewed by nurses and pharmacists to explore health and social problems related to treatment, including identifying medicines and supplements consumed at home.…”

Napredno timsko delo v zdravstvu, kombinacija znanja in spretnosti: pregled literature

“…In the United Kingdom, extended teams are intensively introduced in family medicine clinics, where the tasks are taken over by registered nurses or nurses with advanced skills (Spooner et al, 2022). Pharmacists and pharmacy technicians are often included in the family medicine outpatient team (Adam ang Keers, 2022;Al-Kudhairi et al, 2018;Bartlett et al, 2021;Boughen and Fenn, 2020;Kari et al, 2022;Mann et al, 2013;Nelson et al, 2019;Sinclair et al, 2018), physiotherapists (French and Galvin, 2018), occupational therapists and dieticians (Josi and De Pietro, 2019) are also mentioned. In the field of emergency medical care, staff of "paramedics" and nurses with advanced skills is introduced who is qualified to carry out home visits to patients with an acute condition (Barker et al, 2021).…”

“…Recent research shows that investing in a more diverse staff with a mix of knowledge and skills can lead to improved quality of care, quality of life and job satisfaction (Baernholdt et al, 2020;Leary and Punshon, 2019;Lovink et al, 2019;Nayeri et al, 2020). However, transforming the workforce based on new models of care and changing the skill mix especially in terms of introducing new 'non-medical roles' to work alongside GPs is an ambitious solution that requires creating a balance between GPs and other non-medical roles (Halter et al, 2018;Kari et al, 2022). The addition of new tasks/roles was first widely used in low-and middle-income countries (Tsiachristas et al, 2019), but increasingly also in hospitals in high-income countries where healthcare assistants perform many core nursing tasks under the supervision of medical sisters (Nzinga et al, 2019).…”