Abstract
Consensus on how rehabilitation teamwork and services are optimally coordinated continues
to be a work in progress. One area of recent research has been inpatient-rehabilitation
team conferences in stroke. The prevalence of Americans living with stroke is expected
to gradually increase as the U.S. population ages, as will the related direct and
indirect costs. Effective interdisciplinary team conferences during acute-stroke inpatient-rehabilitation
are key to managing long-term costs while improving functional outcomes. Effective
team conferences help to identify patients at risk for medical complications and institutionalization
and help to determine interventions that will focus on patients’ medical, physical,
cognitive, emotional, and social barriers to recovery and barriers to a community/home
disposition. This scoping review paper identifies and analyzes literature on theory
and structure of effective teams with the focus on stroke interdisciplinary rehabilitation
team conferences and offers suggestions for improvement. Potential flaws of commonly
used team conference formats are described. Studies are outlined showing associations
between stroke patient outcomes and better care coordination and leadership in medical
teamwork; and 2 examples of successful interdisciplinary team conference models used
in stroke inpatient-rehabilitation are provided that support a case for a proactive,
conscious structure to team conferences. Given the complexity of many stroke patients’
clinical care, greater attention to team functioning, and especially team conference
leadership and structure, may be a promising area of focus to improve the quality
of health care services for people with stroke.
Key Words
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Article info
Publication history
Published online: February 06, 2020
Accepted:
December 22,
2019
Received in revised form:
November 27,
2019
Received:
July 29,
2019
Footnotes
Funding: No funding was received for this work.
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104622
Copyright
© 2019 Elsevier Inc. All rights reserved.
