Building Teams in Primary Care: A Practical Guide
Building Teams in Primary Care: A Practical Guide
复制标题
DOI：
10.1037/fsh0000120
复制
发表时间：
2015-09-01
影响因子：
1.3
通讯作者：
Bodenheimer, Thomas
中科院分区：
文献类型：
--
作者：
Ghorob, Amireh;Bodenheimer, Thomas
简介：初级保健正在向以团队为基础的模式转变。在美国，一些高绩效的初级保健做法已成功地过渡到以团队为基础的护理。方法：对29个高绩效的初级保健实践进行了现场访问。在这些实践中所作的观察总结了护理团队所表现出的共同要素。进行了有限的文献检索，以审查确证证据。结果如下：在29个实践中观察到的团队被发现表现出9个要素：稳定的团队结构、主机代管、从医生驱动到基于团队的护理的文化转变、通过培训和技能检查来加强这些角色的定义角色、常规命令和协议、定义的工作流程和工作流程图、足以促进新角色的人员配置比例、基本规则和沟通模式，包括团队会议，小聚和每分钟的互动讨论：这9个要素可能有助于实践过渡到以团队为基础的护理。
Introduction: Primary care is changing to a team-based model. A number of high-performing primary-care practices in the United States have succeeded in making the transition to team-based care. Method: Site visits were conducted to 29 high-performing primary-care practices. Observations made in these practices were summarized for common elements exhibited by care teams. A limited literature search was done to review corroborating evidence. Results: Teams observed in the 29 practices were found to exhibit 9 elements: a stable team structure, colocation, a culture shift in progress from physician-driven to team-based care, defined roles with training and skill checks to reinforce those roles, standing orders and protocols, defined workflows and workflow mapping, staffing ratios adequate to facilitate new roles, ground rules, and modes of communication, including team meetings, huddles, and minute-to-minute interaction. Discussion: These 9 elements may be helpful to practices making the transition to team-based care.