Multidisciplinary team meetings (MDTM) in detection of Alzheimer’s disease: Data from the idem study

Introduction The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut fur Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG) in Germany and the Haute Autorité de Santé (HAS) in France have recently set out guidelines on prescription of anti-dement...

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Veröffentlicht in:The Journal of nutrition, health & aging health & aging, 2013-02, Vol.17 (2), p.137-141
Hauptverfasser: Rolland, Yves, Tavassoli, N., Gillette-Guyonnet, S., Perrin, A., Hermabessiere, S., Ousset, P. -J., Nourhashemi, F., Cestac, P., Vellas, B.
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container_end_page 141
container_issue 2
container_start_page 137
container_title The Journal of nutrition, health & aging
container_volume 17
creator Rolland, Yves
Tavassoli, N.
Gillette-Guyonnet, S.
Perrin, A.
Hermabessiere, S.
Ousset, P. -J.
Nourhashemi, F.
Cestac, P.
Vellas, B.
description Introduction The National Institute for Health and Clinical Excellence (NICE) in the United Kingdom, the Institut fur Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWIG) in Germany and the Haute Autorité de Santé (HAS) in France have recently set out guidelines on prescription of anti-dementi a medication. The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM). Objective To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings. Methods Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer’s disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians’ opinion of these meetings. Results The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians. Conclusions Our survey confirmed the feasibility of MDTM in the field of Alzheimer’s disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved.
doi_str_mv 10.1007/s12603-012-0403-7
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The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM). Objective To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings. Methods Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer’s disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians’ opinion of these meetings. Results The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians. Conclusions Our survey confirmed the feasibility of MDTM in the field of Alzheimer’s disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-012-0403-7</identifier><identifier>PMID: 23364491</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Adult and adolescent clinical studies ; Aging ; Alzheimer Disease - drug therapy ; Alzheimer's disease ; Attitude of Health Personnel ; Biological and medical sciences ; Congresses as Topic ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; Disease ; Drug Administration Schedule ; Emergency medical care ; Family physicians ; Feeding. Feeding behavior ; France ; Fundamental and applied biological sciences. Psychology ; Geriatrics ; Geriatrics/Gerontology ; Germany ; Health Care Surveys ; Humans ; Interdisciplinary Communication ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Meetings ; Memory ; Multidisciplinary teams ; Neurology ; Neurosciences ; Nursing Homes ; Nutrition ; Organic mental disorders. Neuropsychology ; Patient Care Team ; Personal Satisfaction ; Physicians ; Practice Guidelines as Topic ; Practice Patterns, Physicians' - standards ; Prescription drugs ; Prescriptions - standards ; Primary Care Medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM). Objective To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings. Methods Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer’s disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians’ opinion of these meetings. Results The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians. Conclusions Our survey confirmed the feasibility of MDTM in the field of Alzheimer’s disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved.</description><subject>Adult and adolescent clinical studies</subject><subject>Aging</subject><subject>Alzheimer Disease - drug therapy</subject><subject>Alzheimer's disease</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Congresses as Topic</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia</subject><subject>Disease</subject><subject>Drug Administration Schedule</subject><subject>Emergency medical care</subject><subject>Family physicians</subject><subject>Feeding. Feeding behavior</subject><subject>France</subject><subject>Fundamental and applied biological sciences. 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The HAS proposes in particular that continuation of these drugs for longer than one year should be decided in multidisciplinary team meetings (MDTM). Objective To assess the feasibility of MDTM and the satisfaction of coordinating physicians from institutions for the dependent elderly (nursing home, NH) and expert physicians from memory clinics who have participated in the meetings. Methods Survey carried out among physicians who had participated in the MDTM held as part of the IDEM study (Interest of systematic tracking of dementia cases in NH: analysing the contribution of MDTM in Alzheimer’s disease and related diseases; PHRC National 2009, Code 0910701). The survey evaluated the organization of MDTM and the physicians’ opinion of these meetings. Results The cases of 574 patients were discussed in MDTM involving 133 healthcare professionals (32 coordinating physicians, 48 expert physicians, 4 general practitioners and 49 other health professionals). The mean number of participants was 4.2+1.6. About 16 minutes were spent discussing the case of each resident. About 90% of physicians considered that the meetings were useful. Overall assessment of their efficacy was 11.5/20 for the coordinating physicians and 14.1/20 for the expert physicians. The benefits of MDTM in relation to the work entailed were considered important by 60% of expert physicians and 33% of coordinating physicians. Conclusions Our survey confirmed the feasibility of MDTM in the field of Alzheimer’s disease. The overall benefit/workload ratio of the meetings was considered to be favorable for the expert physicians. The benefits of MDTM were turned out to be less appreciated by the coordinating physicians according to high workload involved.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><pmid>23364491</pmid><doi>10.1007/s12603-012-0403-7</doi><tpages>5</tpages></addata></record>
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subjects Adult and adolescent clinical studies
Aging
Alzheimer Disease - drug therapy
Alzheimer's disease
Attitude of Health Personnel
Biological and medical sciences
Congresses as Topic
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Dementia
Disease
Drug Administration Schedule
Emergency medical care
Family physicians
Feeding. Feeding behavior
France
Fundamental and applied biological sciences. Psychology
Geriatrics
Geriatrics/Gerontology
Germany
Health Care Surveys
Humans
Interdisciplinary Communication
Medical sciences
Medicine
Medicine & Public Health
Meetings
Memory
Multidisciplinary teams
Neurology
Neurosciences
Nursing Homes
Nutrition
Organic mental disorders. Neuropsychology
Patient Care Team
Personal Satisfaction
Physicians
Practice Guidelines as Topic
Practice Patterns, Physicians' - standards
Prescription drugs
Prescriptions - standards
Primary Care Medicine
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life Research
United Kingdom
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Workload
Workloads
title Multidisciplinary team meetings (MDTM) in detection of Alzheimer’s disease: Data from the idem study
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