Du Shimeng, Wiegmann Douglas, Beasley John, Steege Linsey, Wetterneck Tosha
Dept. of Industrial and Systems Engineering, University of Wisconsin-Madison.
University of Wisconsin School of Medicine and Public Health.
IISE Trans Healthc Syst Eng. 2020;10(4):251-260. doi: 10.1080/24725579.2020.1800869. Epub 2020 Aug 18.
Primary healthcare is recognized as a team-based activity. Traditionally, a primary care team is considered to be a group of individuals that work together to satisfy patients' needs for primary care services. Past studies show wide variation in the scope and structure of teams across primary care organizations, indicating ambiguity in the definition of primary care teams. In addition, it remains unclear why certain healthcare professionals are included/excluded from another professional's "team". This study explored the question: "How do healthcare professionals in primary care clinics define who is on their team?" Qualitative content analysis was performed on interview data from clinicians and staff in eight primary care clinics regarding team definitions. All participants acknowledged the importance of working in a team, yet they had very different perspectives on how their teams were defined. Multiple themes emerged including borrowing the expertise of another professional, sharing of patient panel, and policy requirements. This study can inform healthcare professionals and administrators, as well as health IT designers, consultants, architects and researchers interested in primary care teams and how they function in a clinic environment.
初级医疗保健被视为一项基于团队的活动。传统上，初级保健团队被认为是一群共同努力满足患者初级保健服务需求的个体。过去的研究表明，不同初级保健机构的团队在范围和结构上存在很大差异，这表明初级保健团队的定义并不明确。此外，尚不清楚为什么某些医疗保健专业人员被纳入/排除在另一个专业人员的“团队”之外。本研究探讨了以下问题：“初级保健诊所的医疗保健专业人员如何定义他们团队中的成员？” 对来自八家初级保健诊所的临床医生和工作人员关于团队定义的访谈数据进行了定性内容分析。所有参与者都承认团队合作的重要性，但他们对团队如何定义有着非常不同的看法。出现了多个主题，包括借鉴另一位专业人员的专业知识、共享患者名单以及政策要求。这项研究可以为医疗保健专业人员和管理人员提供信息，也可以为对初级保健团队及其在诊所环境中的运作方式感兴趣的健康信息技术设计师、顾问、架构师和研究人员提供信息。
