How Teams Work-Or Don't-In Primary Care: A Field Study On Internal Medicine Practices

Authors, Primary Chesluk,Benjamin J.;Holmboe,Eric S.
Title Primary How Teams Work-Or Don't-In Primary Care: A Field Study On Internal Medicine Practices
Periodical Full Health Affairs
Pub Year 2010
Volume 29
issue 5
Start Page 874-879
Abstract We conducted a field study in three primary care practices representing different practice types: a solo practice; a certified patient-centered medical home; and a multiphysician, multispecialty practice connected to a local university. All three practices shared a common culture in the way that practice members related to each other. In each instance, the practice team operated in separate social "silos," isolating physicians from each other and from the rest of the practice staff. We concluded that current practice structures are primarily focused on supporting physicians' hectic routines and have trouble accommodating the diversity of patients' needs. For practices to succeed in managing diverse patients and in helping them understand and manage their own health, it will be critical to break down the silos and organize teams with shared roles and responsibilities.
Publisher Project Hope
Place of Publication Millwood, Va.
Author/Address Not Available
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Patient-Centered Care;Team Based Health Care
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No