Optum Health LLC, 11000 Optum Circle, Eden Prairie, MN 55344. Email:
Am J Manag Care. 2023 Jul 1;29(7):e192-e198. doi: 10.37765/ajmc.2023.89343.
To develop a brief teamwork measure and determine how teamwork relates to provider experience, burnout, and work intentions.
Survey of clinicians.
We analyzed data from Optum's 2019 biannual clinician survey, including a validated burnout measure and measures of provider experience and intent to stay. A 6-item measure of team effectiveness (TEAM) focused on efficiency, communication, continuous improvement, and leadership. Construct validity was assessed with content, reliability, and correlation with burnout. Generalized estimating equations with robust SEs determined relationships among TEAM score, provider experience, and intent to stay, controlling for demographics, clustering, and practice factors.
Of 1500 physicians and advanced practice clinicians (1387 with complete data; response rate 56%), there were 58% in primary care; 57% were women, and 38% identified as Asian, Black/Hispanic, or another race/ethnicity other than White non-Hispanic. Burnout was present in 30%. The Cronbach α was excellent (0.86), and TEAM correlated with the validated burnout measure (adjusted odds ratio [OR] of lower burnout with high TEAM score, 0.28; 95% CI, 0.19-0.40; P < .0001). Clinicians with TEAM scores of at least 4 were more likely to have positive provider experiences (79% favorable vs 24% with low TEAM score; P < .001), had lower burnout rates (17% vs 44%%; P < .001), and more often intended to stay (93% vs 65%; P < .001). TEAM index score was strongly associated with provider experience (adjusted OR, 11.72; 95% CI, 8.11-16.95; P < .001) and intent to stay (adjusted OR, 7.24; 95% CI, 5.34-9.83; P < .001).
The TEAM index is related to provider experience, burnout, and intent to stay, and it may help organizations optimize clinical work environments.
开发一个简洁的团队合作评估工具，并确定团队合作与医生体验、职业倦怠和工作意愿之间的关系。
对临床医生进行的调查。
我们分析了 Optum 公司 2019 年的半年度临床医生调查数据，其中包括一项经过验证的职业倦怠评估工具以及与医生体验和工作意愿相关的评估工具。一个 6 项的团队效能（TEAM）评估工具，重点关注效率、沟通、持续改进和领导力。构念效度通过内容、可靠性以及与职业倦怠的相关性进行评估。采用稳健标准误的广义估计方程确定 TEAM 评分、医生体验和工作意愿之间的关系，同时控制人口统计学、聚类和实践因素。
在 1500 名医生和高级执业医师中（1387 名完成了全部数据；应答率为 56%），有 58%为初级保健医生，其中 57%为女性，38%自认为是亚洲人、黑人/西班牙裔或除白种非西班牙裔以外的其他种族/民族。30%的人存在职业倦怠。Cronbach α 非常高（0.86），TEAM 与经过验证的职业倦怠评估工具相关（高 TEAM 评分者职业倦怠程度较低的调整比值比，0.28；95%置信区间，0.19-0.40；P<0.0001）。TEAM 评分至少为 4 分的医生更有可能拥有积极的医生体验（79%表示满意，而低 TEAM 评分者为 24%；P<0.001），职业倦怠发生率更低（17%比 44%；P<0.001），更愿意继续工作（93%比 65%；P<0.001）。TEAM 指数评分与医生体验（调整比值比，11.72；95%置信区间，8.11-16.95；P<0.001）和工作意愿（调整比值比，7.24；95%置信区间，5.34-9.83；P<0.001）高度相关。
TEAM 指数与医生体验、职业倦怠和工作意愿有关，它可能有助于组织优化临床工作环境。
