Cultura

Interdepartmental Collaboration In Healthcare Systems: A Comprehensive Review Of Its Impact On Patient Outcomes, Care Quality, And Organizational Performance

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Yahya Hamad Al-Haydar, Ishaq Ibrahim AL Ishaq, Yaseen Ibrahim Ishaq Alishaq, Mohammad Naser Alhokash, Hadi Hamad Al-Haydar
Abdullah Mahdi Saleh Al-Harth, Muhammad Mahdi Saleh Al-Harith, Abdullah Saleh Al Abbas, Badr Mhdi Mana Alrobaie, Abdulaziz Mohammed Jaber Al-Hajji

Abstract

Interdepartmental collaboration has emerged as a critical strategic approach for addressing the increasing complexity, fragmentation, and performance demands of modern healthcare systems. As patient care pathways span multiple clinical, diagnostic, and administrative units, effective cooperation among medical departments is essential for delivering coordinated, high-quality, and patient-centered care. This review aims to synthesize current evidence on the impact of interdepartmental collaboration on patient outcomes, care quality, and organizational performance within healthcare settings. Drawing on findings from empirical studies, systematic reviews, and conceptual frameworks published in recent years, the review examines patterns of collaboration across departments, key enabling mechanisms, and reported outcomes at both patient and system levels. The evidence indicates that strong interdepartmental collaboration is consistently associated with improved patient safety, reduced medical errors, enhanced continuity of care, and higher patient satisfaction. At the organizational level, collaboration contributes to workflow efficiency, better resource utilization, workforce engagement, and overall system resilience. Despite these benefits, persistent barriers such as professional silos, communication challenges, and organizational culture constraints remain. This review highlights the need for integrated governance structures, supportive leadership, and digital enablers to sustain effective collaboration and optimize healthcare system performance.

Keywords : Interdepartmental collaboration; Integrated healthcare; Patient outcomes; Care quality; Organizational performance; Multidisciplinary coordination.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty