Cultura

Improving Patient Outcomes Through Multidisciplinary Healthcare Integration: A Comprehensive Review Across Medical Departments

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

Abdullah Eidhah Abdullah Alorayf, Abdullah Hamad Ali Alyami, Ali Mohammed Nasser Almohammed, Ali Mohammed Hussein Al shareef, Saleh Nasser Altawil
Yahya Hamad Ali Alyami, Hussin Mahdi Alsalem, Saleh Hamad Saleh Alhannan, Ali Saleh Hadi Alyami, Nasser Tayeb Ali Al Tawil

Abstract

Healthcare systems increasingly face complex patient needs that require coordinated efforts across multiple medical and allied health disciplines. Fragmentation between departments has been consistently associated with delayed decision-making, medical errors, and suboptimal patient outcomes. This comprehensive review examines how multidisciplinary healthcare integration across medical departments contributes to improved clinical outcomes, patient safety, and care quality. A structured review of recent literature was conducted using major biomedical databases, focusing on studies published between 2016 and 2025 that addressed interprofessional collaboration and integrated care models across clinical, diagnostic, nursing, pharmacy, and allied health services. The findings demonstrate that effective multidisciplinary integration enhances diagnostic accuracy, reduces medication errors, shortens hospital length of stay, lowers readmission rates, and improves patient satisfaction. Organizational support structures, workforce competencies, and digital health enablers—such as interoperable electronic health records and clinical decision-support systems—emerged as critical factors facilitating successful integration. Despite demonstrated benefits, persistent barriers including siloed workflows, communication gaps, and limited interprofessional training remain. This review highlights the necessity of system-level strategies to strengthen multidisciplinary collaboration and provides an integrated framework to support healthcare leaders and policymakers in advancing patient-centered, outcome-driven care delivery.

Keywords : Multidisciplinary healthcare; patient outcomes; integrated care; interprofessional collaboration; healthcare quality; patient safety; care 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