RT Journal Article
T1 Heart transplant centers with multidisciplinary team show a higher level of chronic illness management - Findings from the International BRIGHT Study.
A1 Cajita, Maan Isabella
A1 Baumgartner, Eva
A1 Berben, Lut
A1 Denhaerynck, Kris
A1 Helmy, Remon
A1 Schönfeld, Sandra
A1 Berger, Gabriele
A1 Vetter, Christine
A1 Dobbels, Fabienne
A1 Russell, Cynthia L
A1 De Geest, Sabina
A1 BRIGHT Study Team, 
K1 Chronic illness management
K1 Heart transplantation
K1 Multidisciplinary teams
AB The objectives of this study were to: (1) explore the proportion of HTx centers that have a multidisciplinary team and (2) assess the relationship between multidisciplinarity and the level of chronic illness management (CIM). The International Society for Heart and Lung Transplantation (ISHLT) recommends a multidisciplinary approach in heart transplant (HTx) follow-up care but little is known regarding the proportion of HTx centers that meet this recommendation and the impact on patient care. HTx centers with a multidisciplinary team may offer higher levels of CIM, a care model that has the potential to improve outcomes after HTx. We conducted a secondary analysis of the BRIGHT study, a cross-sectional study in 11 countries. Multidisciplinarity in the 36 HTx centers was assessed through HTx director reports and was defined as having a team that was composed of physician(s), nurse(s), and another healthcare professional (either a social worker, psychiatrist, psychologist, pharmacist, dietician, physical therapist, or occupational therapist). CIM was assessed with the Patient Assessment of Chronic Illness Care (PACIC). Multiple linear regression assessed the relationship between multidisciplinarity and the level of CIM. Twenty-nine (80.6%) of the HTx centers had a multidisciplinary team. Furthermore, multidisciplinarity was significantly associated with higher levels of CIM (β = 5.2, P = 0.042). Majority of the HTx centers follows the ISHLT recommendation for a multidisciplinary approach. Multidisciplinarity was associated with CIM and point toward a structural factor that needs to be in place for moving toward CIM.
YR 2017
FD 2017-06-16
LK https://hdl.handle.net/10668/25354
UL https://hdl.handle.net/10668/25354
LA en
DS RISalud
RD Apr 20, 2025