In Germany this has been shown, in particular, for work-related medical rehabilitation. A recently published guideline on work-related medical rehabilitation support the dissemination of these programmes.
The feasibility of this guideline was examined in a multicentre study. This paper presents findings on the relevance of multiprofessional teamwork for the implementation of successful work-related medical rehabilitation. METHODS: Focus groups were conducted with 7 inpatient orthopaedic rehabilitation teams and examined using qualitative content analysis. All teams described multiprofessional teamwork as a work-related medical rehabilitation success factor, referring to its relevance for holistic treatment of multifactorially impaired patients.
Although similar indicators of successful multiprofessional teamwork were named, the teams realized multiprofessional teamwork differently. We found 3 team types, corresponding to multidisciplinary, interdisciplinary and transdisciplinary team models. These types and models constitute a continuum of collaborative practice, which seems to be affected by context-related factors.
Indicators of ideal multiprofessional teamwork and contextual facilitators were specified. The contingency approach to teamwork, as well as the assumption of multiprofessional teamwork as a continuum of collaborative practice, is supported. Stronger consideration of multiprofessional teamwork in the work-related medical rehabilitation guideline is indicated.
Key words: rehabilitation; patient care team; inter-professional relations; qualitative research; focus groups. E-mail: betje. To reduce the risk of health-related early retirement and to promote sustainable participation in employment, most Western welfare systems provide rehabilitation services to help persons with limited work capacity cope with their job demands. Systematic reviews indicate that these programmes and services can increase return-to-work rates and reduce the duration of sick leave, especially when they are following a multimodal approach that combines medical treatment, physical exercise, cognitive-behavioural components, patient education and social counselling 1—3.
