Cultura

Interprofessional Healthcare Collaboration Integrating Medical Physics, Nursing, Pharmaceutical Sciences and Public Health for Improved Patient Outcomes

VOLUME 23, 2026

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

VOLUME 6, 2023

Azzam Mousa Mohammed Khan, Sultan Khalid Obaid Al Baqami, Abdulrahman Nasser Assiry, Ahmed Abdulellah Omar Albissi, Nabeel Abdullah Alshahrani, Neda Herab Al- Muteiri
Sultan Saeed Muhammad Alghamdi, Sharaf Abdullah A Alshreef, Ayidh yahya Jaber Almalki, Ruba Mohammed AlJaber

Abstract

Contemporary healthcare faces unprecedented challenges from chronic diseases, advanced technologies, and the recognition that health outcomes are shaped by complex biological, psychological, social, and environmental factors. The traditional siloed model of healthcare delivery has proven insufficient, leading to fragmented care, medical errors, increased costs, and suboptimal patient outcomes. This research examines interprofessional collaborative practice (IPCP) through the synergistic integration of five cornerstone disciplines: Medical Physics, Nursing, Pharmaceutical Sciences, Rehabilitation, and Public Health. Drawing upon established theoretical frameworks, including the Interprofessional Education Collaborative (IPEC) core competencies and the World Health Organization's Framework for Action, the study analyzes each discipline's unique contributions to patient-centered care. The research identifies and addresses multifaceted barriers to collaboration, including professional cultural differences, hierarchical power dynamics, communication breakdowns, logistical obstacles, educational isolation, and misaligned financial incentives. A comprehensive synthesis of evidence demonstrates that interprofessional collaboration significantly improves clinical outcomes, enhances patient safety, increases patient satisfaction, reduces healthcare costs, and improves provider well-being. The study concludes with strategic recommendations across educational, organizational, systemic, and cultural domains to foster sustainable interprofessional collaboration, ultimately contributing to the realization of the Quadruple Aim: improving population health, enhancing the patient experience, reducing costs, and improving the work life of healthcare providers.

Keywords : Collaborative Practice, Medical Physics, Nursing, Pharmaceutical Sciences, Rehabilitation, Public Health..
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