Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

Primary care multidisciplinary teams in practice: a qualitative study.

Publication ,  Journal Article
Leach, B; Morgan, P; Strand de Oliveira, J; Hull, S; Østbye, T; Everett, C
Published in: BMC Fam Pract
December 29, 2017

BACKGROUND: Current recommendations for strengthening the US healthcare system consider restructuring primary care into multidisciplinary teams as vital to improving quality and efficiency. Yet, approaches to the selection of team designs remain unclear. This project describes current primary care team designs, primary care professionals' perceptions of ideal team designs, and perceived facilitating factors and barriers to implementing ideal team-based care. METHODS: Qualitative study of 44 health care professionals at 6 primary care practices in North Carolina using focus group discussions and surveys. Data was analyzed using framework content analysis. RESULTS: Practices used a variety of multidisciplinary team designs with the specific design being influenced by the social and policy context in which practices were embedded. Practices overwhelmingly located barriers to adopting ideal multidisciplinary teams as being outside of their individual practices and outside of their control. Participants viewed internal organizational contexts as the major facilitators of multidisciplinary primary care teams. The majority of practices described their ideal team design as including a social worker to meet the needs of socially complex patients. CONCLUSIONS: Primary care multidisciplinary team designs vary across practices, shaped in part by contextual factors perceived as barriers outside of the practices' control. Facilitating factors within practices provide a culture of support to team members, but they are insufficient to overcome the perceived barriers. The common desire to add social workers to care teams reflects practices' struggles to meet the complex demands of patients and external agencies. Government or organizational policies should avoid one-size-fits-all approaches to multidisciplinary care teams, and instead allow primary care practices to adapt to their specific contextual circumstances.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

BMC Fam Pract

DOI

EISSN

1471-2296

Publication Date

December 29, 2017

Volume

18

Issue

1

Start / End Page

115

Location

England

Related Subject Headings

  • Workflow
  • Surveys and Questionnaires
  • Social Workers
  • Qualitative Research
  • Public Health
  • Primary Health Care
  • Perception
  • Patient Care Team
  • Organizational Policy
  • Organizational Culture
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Leach, B., Morgan, P., Strand de Oliveira, J., Hull, S., Østbye, T., & Everett, C. (2017). Primary care multidisciplinary teams in practice: a qualitative study. BMC Fam Pract, 18(1), 115. https://doi.org/10.1186/s12875-017-0701-6
Leach, Brandi, Perri Morgan, Justine Strand de Oliveira, Sharon Hull, Truls Østbye, and Christine Everett. “Primary care multidisciplinary teams in practice: a qualitative study.BMC Fam Pract 18, no. 1 (December 29, 2017): 115. https://doi.org/10.1186/s12875-017-0701-6.
Leach B, Morgan P, Strand de Oliveira J, Hull S, Østbye T, Everett C. Primary care multidisciplinary teams in practice: a qualitative study. BMC Fam Pract. 2017 Dec 29;18(1):115.
Leach, Brandi, et al. “Primary care multidisciplinary teams in practice: a qualitative study.BMC Fam Pract, vol. 18, no. 1, Dec. 2017, p. 115. Pubmed, doi:10.1186/s12875-017-0701-6.
Leach B, Morgan P, Strand de Oliveira J, Hull S, Østbye T, Everett C. Primary care multidisciplinary teams in practice: a qualitative study. BMC Fam Pract. 2017 Dec 29;18(1):115.
Journal cover image

Published In

BMC Fam Pract

DOI

EISSN

1471-2296

Publication Date

December 29, 2017

Volume

18

Issue

1

Start / End Page

115

Location

England

Related Subject Headings

  • Workflow
  • Surveys and Questionnaires
  • Social Workers
  • Qualitative Research
  • Public Health
  • Primary Health Care
  • Perception
  • Patient Care Team
  • Organizational Policy
  • Organizational Culture