Ohara Junya, Ohta Ryuichi, Sano Chiaki
Family Medicine, Unnan City Hospital, Unnan, JPN.
Community Care, Unnan City Hospital, Unnan, JPN.
Cureus. 2025 Mar 28;17(3):e81388. doi: 10.7759/cureus.81388. eCollection 2025 Mar.
Introduction Interprofessional team-based care has been increasingly recognized as a crucial strategy for enhancing healthcare quality and efficiency. Team-based care fosters comprehensive, patient-centered care by integrating various healthcare professionals, such as physicians, nurses, pharmacists, and rehabilitation specialists, improving coordination and communication while reducing medical errors. Despite the benefits, challenges such as team composition, workflow integration, and professional role clarity remain, necessitating further investigation. This study examines different healthcare professionals' perspectives on introducing team-based care in family medicine within a hospital setting. Methods This mixed-method study was conducted at Unnan City Hospital, a regional hospital in Japan. A total of 220 healthcare professionals, including nurses, therapists, medical technicians, pharmacists, and social workers, participated in a structured questionnaire. The questionnaire assessed perceptions of team-based care regarding consultation ease, coordination, understanding of physicians' perspectives, patient satisfaction, work efficiency, and stress levels. Quantitative data were analyzed using statistical tests, including chi-square and Kraskal-Wallis analyses, while qualitative responses were thematically analyzed. Results Findings indicate that healthcare professionals generally perceived team-based care positively, particularly in enhancing communication and interdisciplinary collaboration. Nurses and therapists reported improved work efficiency and stress reduction, whereas technicians and pharmacists expressed concerns about increased workload and role ambiguity. Social workers demonstrated the most favorable perception, highlighting patient-centered care and teamwork benefits. However, inconsistencies in information sharing, decision-making, and workload distribution were identified as key challenges. Conclusion While team-based care enhances collaboration and patient-centered approaches in family medicine, its effectiveness is influenced by professional role clarity and structured implementation. Addressing communication gaps, streamlining decision-making processes, and developing standardized protocols are essential for optimizing team-based care. Future research should assess long-term impacts on patient outcomes and healthcare efficiency.
引言 基于跨专业团队的护理日益被视为提高医疗质量和效率的关键策略。基于团队的护理通过整合各类医疗专业人员，如医生、护士、药剂师和康复专家，促进全面的、以患者为中心的护理，改善协调与沟通，同时减少医疗差错。尽管有这些益处，但团队构成、工作流程整合和专业角色清晰度等挑战依然存在，需要进一步研究。本研究考察了不同医疗专业人员对在医院环境中的家庭医学中引入基于团队的护理的看法。
方法 这项混合方法研究在日本地区医院云南市立医院进行。共有220名医疗专业人员参与了结构化问卷调查，其中包括护士、治疗师、医学技术员、药剂师和社会工作者。该问卷评估了对基于团队的护理在会诊便利性、协调、对医生观点的理解、患者满意度、工作效率和压力水平方面的看法。定量数据使用统计检验进行分析，包括卡方检验和克拉斯卡尔 - 沃利斯分析，而定性回答则进行主题分析。
结果 研究结果表明，医疗专业人员总体上对基于团队的护理持积极看法，特别是在加强沟通和跨学科协作方面。护士和治疗师报告工作效率提高且压力减轻，而技术员和药剂师则对工作量增加和角色模糊表示担忧。社会工作者表现出最积极的看法，强调以患者为中心的护理和团队合作的益处。然而，信息共享、决策和工作量分配方面的不一致被确定为关键挑战。
结论 虽然基于团队的护理在家庭医学中增强了协作和以患者为中心的方法，但其有效性受到专业角色清晰度和结构化实施的影响。解决沟通差距、简化决策流程以及制定标准化方案对于优化基于团队的护理至关重要。未来的研究应评估对患者结局和医疗效率的长期影响。
