Epidemiologist and Director of Research for the Association of Ontario's Community Health Centres in Toronto, Ont.
Family physician at Somerset West Community Health Centre in Ottawa, Ont.
Can Fam Physician. 2017 Jul;63(7):e335-e340.
To examine perceptions of different staff groups about team functioning in mature, community-governed, interprofessional primary health care practices.
Cross-sectional online survey.
The 75 community health centres (CHCs) in Ontario at the time of the study, which have cared for people with barriers to access to traditional health services in community-governed, interprofessional settings, providing medical, social, and community services since the 1970s.
Managers and staff of primary care teams in the CHCs.
Scores on the short version of the Team Climate Inventory (with subscales addressing vision, task orientation, support for innovation, and participative safety), the Organizational Justice Scale (with subscales addressing procedural justice and interactional justice), and the Organizational Citizenship Behavior Scale, stratified by staff group (clinical manager, FP, nurse practitioner [NP], registered nurse, medical secretary, social worker, allied health provider, counselor, outreach worker, and administrative assistant).
A total of 674 staff members in 58 of 75 (77%) CHCs completed surveys. All staff groups generally reported positive perceptions of team function. The procedural justice subscale showed the greatest variation between groups. Family physicians and NPs rated procedural justice much lower than nurses and administrators did.
This study provides a unique view of the perceptions of different groups of staff in a long-standing interprofessional practice model. Future research is needed to understand why FPs and NPs perceive procedural justice more negatively than other team members do, and whether such perceptions affect outcomes such as staff turnover and health outcomes for patients.
探讨成熟的社区管理式跨专业基层医疗实践中不同员工群体对团队功能的看法。
横断面在线调查。
研究时安大略省的 75 个社区卫生中心（CHC），自 20 世纪 70 年代以来，这些中心一直为在社区管理式跨专业环境中难以获得传统卫生服务的人群提供医疗、社会和社区服务。
CHC 基层医疗团队的经理和员工。
团队气候量表（涵盖愿景、任务导向、创新支持和参与式安全）、组织公正量表（涵盖程序公正和互动公正）以及组织公民行为量表的简短版本的得分，按员工群体分层（临床经理、家庭医生、护士从业者、注册护士、医疗秘书、社会工作者、辅助医疗提供者、顾问、外展工作者和行政助理）。
在 75 个 CHC 中的 58 个（77%）中，共有 674 名员工完成了调查。所有员工群体对团队功能的看法普遍较为积极。程序公正子量表在群体之间的差异最大。家庭医生和护士从业者对程序公正的评价远低于护士和管理人员。
本研究提供了一个长期存在的跨专业实践模式中不同员工群体看法的独特视角。未来的研究需要了解为什么家庭医生和护士从业者比其他团队成员更消极地看待程序公正，以及这种看法是否会影响员工离职率和患者的健康结果等结果。
