1. Teaming up in primary care: Membership boundaries, interdependence, and coordination.
- Author
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Everett CM, Docherty SL, Matheson E, Morgan PA, Price A, Christy J, Michener L, Smith VA, Anderson JB Jr, Viera A, and Jackson GL
- Subjects
- Health Personnel, Humans, Patient Care Team, Quality of Health Care, Surveys and Questionnaires, Electronic Health Records, Primary Health Care
- Abstract
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., (Copyright © 2022 American Academy of Physician Assistants.)
- Published
- 2022
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