The collaborative health care team: The role of individual and group expertise
The collaborative health care team: The role of individual and group expertise
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DOI：
10.1207/s15328015tlm1203_2
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发表时间：
2000-06-01
影响因子：
2.5
通讯作者：
Safran, C
中科院分区：
文献类型：
--
作者：
Patel, VL;Cytryn, KN;Safran, C
背景：医疗保健成本的增加和知识的快速增长导致医疗保健专业人员之间进行合作，以分享知识和技能。目的：利用社会认知科学的理论和分析框架，描述团队互动的定性本质及其与培训医疗专业人员的关系。方法：使用观察现场记录、医院文件以及访谈和临床互动的录音来监测初级保健单位的活动。结果：团队内人员的职责和角色的划分变得模糊练习。持续护理由初级保健提供者提供，专门护理由间歇性顾问提供。所需的个人专业知识的性质是患者问题和互动目标的函数。这些团队特征有助于减少不必要和多余的交互。结论：分散的职责使团队能够处理大量患者信息，从而减少个人的认知负担。强调了个人专业知识的独特性，因为它有助于实现团队目标，这表明在制定个人专业教育计划时强调概念能力。医学教学，12(3), 117-132。版权所有 (C) 2000 Lawrence Erlbaum Associates, Inc.
Background: Increasing costs of health care and rapid knowledge growth have led to collaboration among health care professionals to share knowledge and skills.Purposes: To characterize the qualitative nature of team interaction and its relation to training health professionals, drawing on theoretical and analytical frameworks from the sociocognitive sciences.Methods: Activities in a primary care unit were monitored using observational field notes, hospital documents, and audio recordings of interviews and clinical interactions.Results: The demarcation of responsibilities and roles of personnel within the team became fuzzy in practice. Continuous care was provided by primary care providers and specialized care by intermittent consultants. The nature of individual expertise required was a function of the patient problem and the interaction goal. These team characteristics contributed to the reduction of unnecessary and redundant interactions.Conclusions: Distributed responsibilities allow the team to process massive amounts of patient information, reducing the cognitive load on individuals. The uniqueness of individual professional expertise as it contributes to the accomplishment of team goals is highlighted, suggesting emphasis on conceptual competence in the development of individual professional education programs. Teaching and Learning in Medicine, 12(3), 117-132. Copyright (C) 2000 by Lawrence Erlbaum Associates, Inc.