Teaming up in primary care: Membership boundaries, interdependence, and coordination.
Journal Article (Journal Article)
OBJECTIVE: Increased demand for quality primary care and value-based payment has prompted interest in implementing primary care teams. Evidence-based recommendations for implementing teams will be critical to successful PA participation. This study sought to describe how primary care providers (PCPs) define team membership boundaries and coordinate tasks. METHODS: This mixed-methods study included 28 PCPs from a primary care network. We analyzed survey data using descriptive statistics and interview data using content analysis. RESULTS: Ninety-six percent of PCPs reported team membership. Team models fell into one of five categories. The predominant coordination mechanism differed by whether coordination was required in a visit or between visits. CONCLUSIONS: Team-based primary care is a strategy for improving access to quality primary care. Most PCPs 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 clinicians, and enhancing the electronic health record to facilitate between-visit coordination.
Full Text
Duke Authors
- Anderson Jr., John B.
- Docherty, Sharron Lee
- Everett, Christine M
- Jackson, George Lee
- Morgan, Perri Anne
- Smith, Valerie A.
- Viera, Anthony Joseph
Cited Authors
- Everett, CM; Docherty, SL; Matheson, E; Morgan, PA; Price, A; Christy, J; Michener, L; Smith, VA; Anderson, JB; Viera, A; Jackson, GL
Published Date
- February 1, 2022
Published In
Volume / Issue
- 35 / 2
Start / End Page
- 1 - 10
PubMed ID
- 34985006
Pubmed Central ID
- PMC9869344
International Standard Serial Number (ISSN)
- 1547-1896
Digital Object Identifier (DOI)
- 10.1097/01.JAA.0000805840.00477.58
Language
- eng
Conference Location
- United States