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...

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Detalles Bibliográficos
Publicado en:JAAPA: Journal of the American Academy of Physician Assistants (Lippincott Williams & Wilkins) Vol. 35; no. 2; pp. 1 - 11
Autores principales: Everett, Christine M., Docherty, Sharron L., Matheson, Elaine, Morgan, Perri A., Price, Ashley, Christy, Jacob, Michener, Lloyd, Smith, Valerie A., Anderson Jr., John B., Viera, Anthony, Jackson, George L.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Feb2022
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario: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.