24 Furthermore, the effect of an intensified multidisciplinary pharmaceutical care programme consisting of a combination of written and spoken information on the adherence of patients with cancer taking capecitabine was investigated.
In a review of the efficacy of multidisciplinary team care programmes in rheumatoid arthritis, Vliet Vlieland et al. advocate the use of patient-oriented outcome measures and procedures to help enhance the role of the patient in the team care process and communication among health professionals [ 58].
The active ingredients of the [G]OLD home visitation programme for it to reach the intended effects were a home visit for conducting a CGA, a tailored care and treatment plan, multidisciplinary care management, and targeted intervention and follow-up.
As a result, the [G]OLD home visitation programme consists of a CGA of older people's health and well-being during a home visit by the practice nurse (PN), a tailored care and treatment plan, multidisciplinary care management, and targeted intervention and follow-up over time.
Such actions could include the implementation of an integrated CKD prevention and care programmes in order to promote the screening of high-risk populations, patient education and creation of multidisciplinary care teams.
The KP system has structured chronic care management programmes that integrate multiple elements, such as clinical guidelines, disease registries, proactive outreach, reminders, multidisciplinary care teams, and performance feedback to providers [ 34].
These CMHTs are multidisciplinary and each key worker has a caseload of people with SMI, whose care they coordinate according to the care programme approach (CPA).
The fact that breast cancer has a high incidence and requires multidisciplinary care made this cancer a particularly suitable candidate for assessing whether the instrument of a nationwide quality-of-care benchmarking programme could serve as a prototype for the creation of cancer centres in general.
78 However, while the CCM specifically supports multidisciplinary care, patient professional relationships and outcomes, decision-makers also need strong scientific evidence upon which to base healthcare policies and programmes.
Cancer patents need multidisciplinary care involving diverse specialists often scattered across different sites.
