Analysis of Variation in Organizational Definitions of Primary Care Panels

Abstract

Key Points Question Is there variation in how organizations define primary care panels, and if so, how much does this contribute to variation in reported panel size? Findings This systematic review of 74 articles reporting on 29 health care systems and 5 empanelment implementation guides found wide variation in the rules used to add and remove patients from primary care panels and to count primary care resources. Different rules were associated with large differences in reported panel size, independent of the actual clinician workload. Meaning These findings suggest that caution is needed comparing reported panel sizes, and research is needed on the benefits of different approaches.

Psychological safety is associated with better work environment and lower levels of clinician burnout

“…In our analyses, psychological safety emerged as a previously unrecognized mechanism that partly accounts for the impact of a positive work environment on EE and DE. 49 The inverse relationship between factors in the work environment and burnout scores is partly attributable to psychological safety enabled by a positive work environment. This suggests that the benefits of improving the work environment for NPs may go beyond burnout mitigation and additionally include enhanced psychological safety and its associated benefits.…”

“…Such leader skills include confidence in communication and team dynamics, 56 managing abuse of power and social influence, 57 and promoting decision-making at the lowest levels of the organization. 49 Instituting organizational policies that value and promote speaking-up behaviors for all individuals promotes safety culture and reduces the impact of traditional social hierarchies. 57 …”