Cultura

Healthcare as a Team Effort: A Comprehensive Review of Professional Roles Across all Medical Disciplines

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

Sarah Ahmad Ali Alshehri, Fatima Fahad Alrossais, Mossa Jaffr Alrabea, Saliha Mohammed Ahmed Al Asmari, Yasir Hayyan Alwadai
Amnah Salem Mohammed Alhawiti, Sultan Mohd H Alsomili, Abdullah Mohammed Ibrahim kariri, Ismail Ali Ismail Mubarki, Ibrahim Hadi Mosawa Hadadi

Abstract

Healthcare delivery has evolved from physician-centered models toward integrated, team-based systems involving diverse medical and allied health professionals. This comprehensive review examines healthcare as a collaborative effort, highlighting the roles of physicians, nurses, pharmacists, diagnostic services, allied health professionals, and administrative and support teams across the continuum of care. Drawing on recent international literature, the review synthesizes evidence on how multidisciplinary collaboration enhances patient safety, clinical outcomes, care coordination, and system efficiency. Additionally, the review explores organizational, workforce, and digital enablers that support effective teamwork, including interprofessional education, leadership models, health information systems, and digital health technologies. By integrating evidence across medical disciplines, this review proposes a holistic framework that positions teamwork as a core determinant of healthcare quality and resilience. The findings emphasize that sustainable healthcare improvement requires coordinated professional roles, shared accountability, and system-level integration rather than isolated clinical excellence.

Keywords : Team-based healthcare; multidisciplinary collaboration; interprofessional practice; healthcare systems; patient safety; integrated care.
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