The Association of Teamlets and Teams with Physician Burnout and Patient Outcomes

Casalino, Lawrence P.; Jung, Hye–Young; Bodenheimer, Thomas; Díaz, Iván; Chen, Melinda A.; Willard-Grace, Rachel; Zhang, Manyao; Johnson, Patricia A.; Qian, Yuting; O’Donnell, Eloise; Unruh, Mark Aaron

doi:10.1007/s11606-022-07894-7

Cited by 2 publications

(2 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As described previously, 10 we randomly sampled 2300 general internists and family physicians drawn from the nationwide Care Precise database. Selected physicians were sent a survey to determine whether they worked with the same staff member in at least 80% of clinic sessions and, if so, to characterize the physician's perspectives on the positive and negative aspects of working this way (Appendix 1).…”

Section: Sample and Interviewsmentioning

confidence: 99%

“…[7][8][9] In previous work, we found that /77% of primary care physicians reported working together with 1 staff member at least 80% of the time. 10 In this study, we seek to identify the characteristics or combinations of characteristics most common in high-performing teamlets by linking Medicare claims data to physician survey and interview data with teamlet physicians and staff members. [11][12][13][14]…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

High-Performing Teamlets in Primary Care: A Qualitative Comparative Analysis

Chen,

Rubinson,

O’Donnell

et al. 2023

J Am Board Fam Med

View full text Add to dashboard Cite

In efforts to improve patient care, collaborative approaches to care have been highlighted. The teamlet model is one such approach, in which a primary care clinician works consistently with the same clinical staff member. The purpose of this study is to identify the characteristics of highperforming primary care teamlets, defined as teamlets with low rates of ambulatory care sensitive emergency department (ACSED) visits and ambulatory care sensitive hospital admissions (ACSAs).Methods: Twenty-six individual qualitative interviews were performed with physicians and their teamlet staff member across 13 teamlets. Potentially important characteristics related to high-performing primary care teamlets were identified, calibrated, and analyzed using qualitative comparative analysis (QCA).Results: Key characteristics identified by the QCA that were often present in teamlets with low rates of ACSED visits and, to a lesser extent, ACSAs were staff proactiveness in anticipating physician needs and physician-reported trust in their staff member.Conclusion: This study suggests that physician trust in their staff and proactiveness of staff in anticipating physician needs are important in promoting high-performing teamlets in primary care. Additional studies are indicated to further explore the relationship between these characteristics and high-performing teamlets, and to identify other characteristics that may be important.

show abstract

Section: Sample and Interviewsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

High-Performing Teamlets in Primary Care: A Qualitative Comparative Analysis

Chen,

Rubinson,

O’Donnell

et al. 2023

J Am Board Fam Med

View full text Add to dashboard Cite

show abstract

Association of Burnout With Primary Care Clinician Perception of Team-Based Scheduling Support

Funk,

Stillman,

Wang

et al. 2024

J Prim Care Community Health

View full text Add to dashboard Cite

Introduction: Primary care clinician burnout is pervasive and detrimental. How components of teamwork and clinic culture might contribute to burnout remains unsettled. Objective: To examine associations between primary care clinician perceptions of specific components of teamwork and of organizational culture, and perceived stress and burnout. Methods: Cross-sectional survey study of primary care clinicians from 5 county health system clinics. Measures: Perceptions of teamwork related to coordination of care, and clinic provision of chronic disease self-management support; values alignment and workplace equity; and demographics. Data Analysis: Descriptive statistics and Spearman’s correlations to examine associations, controlling for clinic and examining response variability by clinic. Results: Of 72 clinicians, 64% were female and 32% non-white. About 56% had worked at least 4 years and half worked 5 to 6 half days/week or more in their clinic. Clinicians who reported having someone on the clinician’s care team routinely schedule follow-up appointments for patients with complex chronic illnesses reported lower stress and burnout. Those who perceived greater values alignment with their clinic and greater personal and employee equitable treatment had lower stress and burnout. Conclusions: Teamwork among clinicians and non-clinical staff, a component of teamwork that is not well-considered in current literature, could be an important piece of the puzzle to decrease the persistent and challenging issue of stress and burnout among primary care clinicians.

show abstract

The Association of Teamlets and Teams with Physician Burnout and Patient Outcomes

Cited by 2 publications

References 35 publications

High-Performing Teamlets in Primary Care: A Qualitative Comparative Analysis

High-Performing Teamlets in Primary Care: A Qualitative Comparative Analysis

Association of Burnout With Primary Care Clinician Perception of Team-Based Scheduling Support

Contact Info

Product

Resources

About