ArticleQuality & safety in health care2003
Team structure, team climate and the quality of care in primary care: an observational study.
Article in Quality & safety in health care, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
85 citing papers in PubMed, 5 syntheses or guidelines pooled it, 280 citations in OpenAlex.
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- 'Gearing Up' to improve interprofessional collaboration in primary care: a systematic review and conceptual framework.BMC family practice · 2016Pooled it
- Teamwork assessment in internal medicine: a systematic review of validity evidence and outcomes.Journal of general internal medicine · 2014Pooled it
- Does practice size matter? Review of effects on quality of care in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Pooled it
- The breadth of primary care: a systematic literature review of its core dimensions.BMC health services research · 2010Pooled it
- Effectiveness of Implementing a Collaborative Chronic Care Model for Clinician Teams on Patient Outcomes and Health Status in Mental Health: A Randomized Clinical Trial.JAMA network open · 2019Trial
- Trial
- Interdisciplinary diabetes care teams operating on the interface between primary and specialty care are associated with improved outcomes of care: findings from the Leuven Diabetes Project.BMC health services research · 2009Trial
- General practice organisational models and heart failure medication adherence: multi-level evidence from a regional cohort in Emilia-Romagna, Italy.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Exploring the Relationship Between Nurses' Perceptions of Teamwork and Caring Behaviors: A Multicenter Cross-Sectional Study in Iran.Journal of nursing management · 2026Observational
- Identifying competencies of primary health care teams in Bhavnagar district, Gujarat.PLOS global public health · 2026Article
- Article
- Evaluating a simulation-based interprofessional education activity on disaster preparedness and management among health professions students.Advances in simulation (London, England) · 2025Article
- Parents' perspectives on childhood antibiotic treatment in Ireland-a qualitative study.JAC-antimicrobial resistance · 2025Article
- Turkish adaptation, validity and reliability study of the "erlangen team cohesion at work scale": team cohesion of paramedics from healthcare professionals.BMC psychology · 2025Article
- Evaluating the role of community-based multi-disciplinary teams in England's Pioneer integrated health and social care programme: Setting the scene.Journal of health services research & policy · 2025Article
- Teamwork and use of teams in services for older people: a qualitative study of finnish nurse managers' experiences.BMC nursing · 2025Article
- Team climate, job satisfaction, burnout and practice performance: results of a national survey of staff in general practices in England.BMC primary care · 2025Article
- Practice list size, workforce composition and performance in English general practice: a latent profile analysis.BMC primary care · 2024Article
- Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals.BMC primary care · 2024Article
25 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine whether practice structure (for example, list size, number of staff) predicts team processes and whether practice structure and team process in turn predict team outcomes
designObservational study using postal questionnaires and medical note audit. Team process was assessed through a measure of "climate" which examines shared perceptions of organisational policies, practices, and procedures.
settingPrimary care. SUBJECTS: Members of the primary health care team from 42 practices.
main outcome measuresObjective measures of quality of chronic disease management, patients' evaluations of practices, teams' self-reported ratings of effectiveness, and innovation.
resultsTeam climate was better in singlehanded practices than in partnerships. Practices with longer booking intervals provided superior chronic disease management. Higher team climate scores were associated with superior clinical care in diabetes, more positive patient evaluations of practice and self-reported innovation and effectiveness.
conclusionsAlthough the conclusions are preliminary because of the limited sample size, the study suggests that there are important relationships between team structure, process, and outcome that may be of relevance to quality improvement initiatives in primary care. Possible causal mechanisms that might underlie these associations remain to be determined.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.