Primary care practice characteristics associated with team functioning in primary care settings in Canada: A practice-based cross-sectional survey

Ndateba, Innocent; Wong, Sabrina T.; Beaumier, Jonathan; Martin‐Misener, Ruth; Hogg, William; Wodchis, Walter P.; McGrail, Kimberlyn; Johnston, Sharon

doi:10.1080/13561820.2022.2099359

Cited by 3 publications

(5 citation statements)

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“…In line with articles in the review, there is consensus that strong leadership, shared goals, good communication, and participatory decision making contribute to a favourable team climate and improve functioning. 12 , 14 , 32 – 36 While micro-level team composition and functioning are identified as important, 37 existing context also matters in the development of models for primary healthcare delivery and determining optimal panel sizes. 28 , 38 , 39 Larger teams have been associated with worse scores on the Team Climate Inventory 14 but not consistently so.…”

Section: Discussionmentioning

confidence: 99%

“…12 , 14 , 32 – 36 While micro-level team composition and functioning are identified as important, 37 existing context also matters in the development of models for primary healthcare delivery and determining optimal panel sizes. 28 , 38 , 39 Larger teams have been associated with worse scores on the Team Climate Inventory 14 but not consistently so. 12 Similarly, larger patient panels do not necessarily mean worse quality of care.…”

Section: Discussionmentioning

confidence: 99%

“… 13 Team climate has been equated with team functioning. 14 Culture is a deeper and more engrained concept, reflecting an organisations’ norms of behaviour, beliefs, and values. 15 A range of outcomes for staff and patients arising from differences or changes in team composition and team climate were of interest, including staff job satisfaction, wellbeing, stress or burnout, and quality of care for patients.…”

Section: Methodsmentioning

confidence: 99%

“…Although influenced by the underlying organisational culture (12), team climate is generally considered something that is more easily manipulated by team leaders to promote productivity (13). Team climate has been equated with team functioning (14). Culture is a deeper and more engrained concept, reflecting an organisations' norms of behaviour, beliefs and values (15).…”

Section: Figure 1 Conceptual Frameworkmentioning

confidence: 99%

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The effect of general practice team composition and climate on staff and patient experiences: a systematic review

Abrams,

Jones,

Campbell

et al. 2023

BJGP Open

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BackgroundRecent policy initiatives seeking to address the workforce crisis in general practice have promoted greater multi-disciplinarity. Evidence is lacking on how changes in staffing and the relational climate in practice teams affect the experiences of staff and patients.AimTo synthesise evidence on how the composition of the practice workforce and team climate affect staff job satisfaction and burnout, and the processes and quality of care for patients.Design & settingThis is a systematic literature review of international evidence.MethodFour different searches were carried out using MEDLINE, Embase, Cochrane, CINAHL PsycINFO and Web of Science. Evidence from English language papers from 2012–2022 was identified, with no restriction on study design. PRISMA guidelines were followed and data were synthesised thematically.ResultsEleven studies in primary healthcare settings were included, ten from US integrated healthcare systems, one from Canada. Findings indicate that when teams are understaffed and work environments are stressful, patient care and staff wellbeing suffer. However, a good relational climate can buffer against burnout and protect patient care quality in situations of high workload. Good team dynamics and stable team membership are important for patient care coordination and job satisfaction. Women physicians are at greater risk of burnout.ConclusionEvidence regarding team composition and team climate in relation to staff and patient outcomes in general practice remains limited. Challenges exist when drawing conclusions across different team compositions and definitions of team climate. Further research is needed to explore the conditions that generate a ‘good’ climate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Figure 1 Conceptual Frameworkmentioning

confidence: 99%

See 2 more Smart Citations

The effect of general practice team composition and climate on staff and patient experiences: a systematic review

Abrams,

Jones,

Campbell

et al. 2023

BJGP Open

View full text Add to dashboard Cite

show abstract

“…Team-based primary care is the future, but there is varied implementation 50 and exactly how to make it happen is still being sorted. 51 , 52 , 53 A clinic-based team that shares space, resources, and a vision for collaborative, patient-centred care is shown to be associated with improved care. 54 In British Columbia, there is increasing recognition of the value of team-based care, but implementation has focused on “primary care network” supports outside the clinic structure that vary region to region.…”

Section: Recommendations For Policy-makers and Health Leadersmentioning

confidence: 99%

What can publicly funded schools teach us about how to fix the family doctor shortage?

McCracken

Hedden

2023

Healthc Manage Forum

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Recent estimates suggest that up to 22% of Canadians over 18 do not have regular access to a family doctor or nurse practitioner. This lack of access is often characterized as a “family doctor shortage” and has been making headlines for decades. However, we have more family doctors than ever before, and in fact, the lack of primary care access is less about a shortage of physicians and more a need to develop a modern infrastructure and new way of funding and organizing care. Real change will require a paradigm shift from doctor- to clinic-organized care. The example of how schools are organized for public education may hold answers about how to make that paradigm shift and with investment in infrastructure see improvements in access to care across the country.

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Team climate and patients’ perception of primary healthcare attributes in Brazil: a cross-sectional study

Peduzzi,

Fernandes Agreli,

da Silva

et al. 2024

Journal of Interprofessional Care

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Primary care practice characteristics associated with team functioning in primary care settings in Canada: A practice-based cross-sectional survey

Cited by 3 publications

References 44 publications

The effect of general practice team composition and climate on staff and patient experiences: a systematic review

The effect of general practice team composition and climate on staff and patient experiences: a systematic review

What can publicly funded schools teach us about how to fix the family doctor shortage?

Team climate and patients’ perception of primary healthcare attributes in Brazil: a cross-sectional study

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