Article

Systematic reviews indicate the effectiveness of multimodal
rehabilitation. In Germany this has been shown, in particular, for work-related
medical rehabilitation. A recently published guideline on work-related medical
rehabilitation supports the dissemination of these programmes. The feasibility of
this guideline was examined in a multicentre study. This paper presents findings
on the relevance of multiprofessional teamwork for the implementation of
successful work-related medical rehabilitation. METHODS: Focus groups were
conducted with 7 inpatient orthopaedic rehabilitation teams and examined using
qualitative content analysis. RESULTS: Multiprofessional teamwork emerged
inductively as a meaningful theme. All teams described multiprofessional teamwork
as a work-related medical rehabilitation success factor, referring to its
relevance for holistic treatment of multifactorially impaired patients. Although
similar indicators of successful multiprofessional teamwork were named, the teams
realized multiprofessional teamwork differently. We found 3 team types,
corresponding to multidisciplinary, interdisciplinary and transdisciplinary team
models. These types and models constitute a continuum of collaborative practice,
which seems to be affected by context-related factors. CONCLUSION: The
significance of multiprofessional teamwork for successful multimodal
rehabilitation was underlined. Indicators of ideal multiprofessional teamwork and
contextual facilitators were specified. The contingency approach to teamwork, as
well as the assumption of multiprofessional teamwork as a continuum of
collaborative practice, is supported. Stronger consideration of multiprofessional
teamwork in the work-related medical rehabilitation guideline is indicated.

Langue : ANGLAIS