An innovative method to structure multidisciplinary team conferences i
n rehabilitation medicine was developed: Rehabilitation Activities Pro
file report system (RAP-TEAM). Experiences with introduction of RAP-TE
AM and the study of its effects on the satisfaction of professionals a
re described. RAP-TEAM was introduced in three teams. RAP-TEAM did not
influence the satisfaction of professionals in two teams; satisfactio
n in the third team even decreased. Nevertheless, professionals report
more benefits than disadvantages of RAP-TEAM. Several possible explan
ations for these results and the methodological problems with this kin
d of evaluation study are discussed. The most important explanation is
that introduction of an innovative method should be allowed sufficien
t time before it could become effective. Recommendations for a success
ful introduction of innovative changes are made. All people concerned
must be aware that a process of change is not simple, and needs the fu
ll attention of all.