First author | Focus of the model | Setting | Time frame | Disciplines represented | Collaboration strategy |
---|---|---|---|---|---|
Cancer | |||||
 Jordhoy et al. [20] | treating, training, consulting | Hospital, GP’s, nursing homes, home care | end of life | GP, community nurse, consultant nurse, physician from PMU. | Model-responsible team meetingsa |
 Smeenk et al. [21] | treating, training, consulting | Hospital, primary care team | concurrent, end of life | Specialist nurse coordinator, oncology ward nurses + medical specialist, transmural home team with nurses from hospital + day care. | Model-responsible team meetings, protocol |
 Colombet et al. [22] | treating, consulting | Hospital | concurrent, end of life | 15 referral physicians: oncologists who prescribe chemotherapy, of whom 2 have been trained in PC fundamentals. MDT: PCT and oncology staff. PCT: PC specialists, nurses, secretary assistant, psychologist. Oncology staff: physicians, nurses, head nurses, social workers, psychologists, secretaries. | Model-responsible team + additional experts meetingb |
 Schreml, et al. [23] | treating, training, consulting | Hospital | concurrent, end of life | Physicians and nurses. | Model-responsible team meetings |
End-of-life (Liverpool Care Pathway) | |||||
 Constantini et al. [24] | treating, training | Hospital | end of life | PCT: 2 physicians, 3 nurses, 2 psychologists. | protocol |
LCP training: nurses and physicians of the hospital wards. | |||||
 Veerbeek et al. [25] | treating | Hospital, nursing home and home | end of life | Physicians and nurses. | Model-responsible team meetings, protocol |
Malignant and Non-malignant Disease | |||||
 Grande et al. [26] | treating | Home | end of life | Six qualified nurses, 2 nursing auxiliaries, CHAH coordinator, agency nursing care. | Model-responsible team meetings |
 Vicente et al.[27] | treating | Hospital, home | end of life | PC home team as an MDT comprised by physicians, nurses, nurse assistants, and administrative assistants, social workes, psychologists. | Model-responsible team meetings |
Dementia | |||||
 Sampson et al. [28] | treating, training, consulting | Hospital, home | end of life | Senior nurse experienced in dementia and trained in PC; clinical MDT. | Model-responsible team meetings |
 Multiple Sclerosis | |||||
 Higginson et al. [29] | treating, consulting | Home, hospital outpatient clinic, care homes, hospital | concurrent | Part-time PC medicine consultant, 1 part-time clinical nurse specialist, 1 administrator, 1 psychosocial worker. | Model-responsible team meetings |
 Edmonds et al. [30] | treating, consulting | Home, hospital outpatient clinics, care homes, hospital | concurrent | Part-time consultant in PC Medicine with specialist interest in neurological conditions, part-time clinical nurse specialist, full time administrator. | Model-responsible team + additional experts meeting |
HIV/AIDS | |||||
 Koffman et al. [31] | treating, consulting | Hospice, home | end of life | Nurses trained in PC; bank nurses for night-sitting; 2 PC medicine consultants. | Model-responsible team + additional experts meeting |
Chronic Heart Failure | |||||
 Pattenden et al. [32] | treating, consulting | Homes, hospice, ‘care of the elderly’ wards | concurrent, end of life | Heart Failure nurse specialists, MCN nurses, MCN health care assistants, cardiology, ‘care for the elderly’ consultants, district nurses, GPs. | Model-responsible team + additional experts meeting, protocol |
Advanced Chronic Disease | |||||
 Navarro et al. [33] | treating | Hospital | concurrent | The MDT consists of physicians, head nurse, ward nurses, auxiliary nurses, collaborating with a dietician, psychologist, social worker, rehabilitation physician, physiotherapist, occupational therapist and speech therapist. | Model-responsible team + additional experts meeting |