The Role of Health Care Teams in Cancer Care location:Rockville, Maryland, USA date:16-18 May 2012
A post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, was performed in Belgian acute hospitals to evaluate impact of care pathways on interprofessional teamwork. Thirty teams participated. Both COPD- and Proximal Femur Fracture-teams were involved. The intervention teams implemented a care pathway. The control teams provided usual care. Amongst other positive results, most importantly the intervention teams scored significantly better on conflict management and team climate for innovation. Next to this they showed lower risk of burnout as they scored significantly lower on emotional exhaustion and mental detachment, and significantly higher on level of competence. Most important conditions and active components that facilitated the normalization of care pathways were described. Results from our study enhances understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined and healthier teams can be built.