Teaming up in primary care: Membership boundaries, interdependence, and coordination.
Teaming up in primary care: Membership boundaries, interdependence, and coordination.
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DOI：
10.1097/01.jaa.0000805840.00477.58
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发表时间：
2022-02-01
影响因子：
1.1
通讯作者：
Jackson, George L.
中科院分区：
文献类型：
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作者：
Everett, Christine M.;Docherty, Sharron L.;Matheson, Elaine;Morgan, Perri A.;Price, Ashley;Christy, Jacob;Michener, Lloyd;Smith, Valerie A.;Anderson, John B., Jr.;Viera, Anthony;Jackson, George L.
对优质初级保健(PC)和基于价值的支付的需求增加，促使人们对实施PC团队感兴趣。针对执行小组的循证建议将是成功参与巴勒斯坦权力机构的关键。学习目标包括描述PC专业人员如何1)定义团队成员边界和2)协调任务。这项混合方法的研究包括来自PC网络的28名PC专业人员。调查数据采用描述性统计方法，访谈数据采用内容分析方法。96%的个人电脑专业人士表示自己是团队成员。团队模特分为五个类别之一。主要的协调机制因是否需要在一次访问内或两次访问之间进行协调而不同。基于团队的PC是一种改善获得高质量PC的途径的策略。大多数专业人员根据内部访问任务的相互依赖关系来定义团队成员。我们的发现表明，以团队为基础的干预措施可以侧重于澄清团队成员，增加提供者之间的互动，并加强电子健康记录，以促进两次访问之间的协调。
Increased demand for quality primary care (PC) and value-based payment has prompted interest in implementing PC teams. Evidence-based recommendations for implementing teams will be critical to successful PA participation. Study objectives include describing how PC professionals 1) define team membership boundaries and 2) coordinate tasks. This mixed-methods study included 28 PC professionals from a PC network. We analyzed survey data using descriptive statistics and interview data using content analysis. Ninety-six percent of PC professionals reported team membership. Team models fell into one of five categories. The predominant coordination mechanism differs by whether coordination is required within a visit or between visits. Team-based PC is a strategy for improving access to quality PC. Most professionals define team membership based on within-visit task interdependencies. Our findings suggest that team-based interventions can focus on clarifying team membership, increasing interaction between providers, and enhancing the EHR to facilitate between-visit coordination.