Zijl Alissa Lysanne van, Vermeeren Brenda, Koster Ferry, Steijn Bram
Department of Public Administration and Sociology, Erasmus University Rotterdam , Rotterdam, Netherlands.
J Interprof Care. 2021 Jan-Feb;35(1):10-20. doi: 10.1080/13561820.2020.1715357. Epub 2020 Feb 13.
This study aimed to unravel the complexity of interprofessional teamwork in primary care teams by testing the relationship between functional heterogeneity and team performance through the mediating role of information elaboration, and the moderating roles of directive leadership and participative leadership. The moderated mediation model was validated using survey data from 1105 professionals and 97 supervisors in 143 Dutch primary care teams. The results confirmed the model and showed a significant negative effect of functional heterogeneity on information elaboration, which in turn had a positive effect on team performance. Both directive and participative leadership moderated the negative effect of functional heterogeneity on information elaboration to the extent that the indirect negative effect of functional heterogeneity on team performance became insignificant under high levels of either directive or participative leadership. The theoretical implications of these findings for the literature on healthcare, team diversity, and leadership, as well as the practical implications for policy makers, educationalists and managers of primary care teams, are discussed.
本研究旨在通过检验功能异质性与团队绩效之间的关系（经由信息阐述的中介作用以及指令型领导和参与型领导的调节作用），来揭示初级保健团队中跨专业团队合作的复杂性。使用来自荷兰143个初级保健团队的1105名专业人员和97名主管的调查数据对有调节的中介模型进行了验证。结果证实了该模型，并显示功能异质性对信息阐述有显著的负面影响，而信息阐述反过来又对团队绩效有积极影响。指令型领导和参与型领导都调节了功能异质性对信息阐述的负面影响，以至于在高水平的指令型领导或参与型领导下，功能异质性对团队绩效的间接负面影响变得不显著。讨论了这些发现对医疗保健、团队多样性和领导力文献的理论意义，以及对初级保健团队的政策制定者、教育工作者和管理者的实际意义。
