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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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
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      dt: Feb2022
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/01.JAA.0000805840.00477.58
        154894461
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        atl: Teaming up in primary care: Membership boundaries, interdependence, and coordination.
      aug:
        au:
          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.
      sug:
        subj:
          Physician's Role
          Physicians, Family
          Membership
          Professional Boundaries Evaluation
          Task Performance and Analysis
          Primary Health Care
          Human
          Multimethod Studies
          Surveys
          Interviews
          Content Analysis
          Office Visits
          Interprofessional Relations
          Electronic Health Records
          Continuity of Patient Care
          Semi-Structured Interview
          Purposive Sample
          Descriptive Statistics
          Multidisciplinary Care Team
          Male
          Female
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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