Teaming up in primary care: Membership boundaries, interdependence, and coordination.
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.
Duke Scholars
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Related Subject Headings
- Surveys and Questionnaires
- Quality of Health Care
- Primary Health Care
- Patient Care Team
- Humans
- Health Personnel
- Electronic Health Records
- 4205 Nursing
- 3202 Clinical sciences
- 1110 Nursing
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Surveys and Questionnaires
- Quality of Health Care
- Primary Health Care
- Patient Care Team
- Humans
- Health Personnel
- Electronic Health Records
- 4205 Nursing
- 3202 Clinical sciences
- 1110 Nursing