ArticleAnnals of family medicine
In search of joy in practice: a report of 23 high-functioning primary care practices.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 166 papers, 2 of them syntheses that pooled it.
What it found
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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
166 citing papers in PubMed, 2 syntheses or guidelines pooled it, 412 citations in OpenAlex.
- What Defines a High-Performing Health Care Delivery System: A Systematic Review.Joint Commission journal on quality and patient safety · 2017Pooled it
- Pooled it
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- Evaluating patients' trust in health information based on different dimensions of trust.Scientific reports · 2026Article
- Satisfaction of patients and healthcare practitioners with the services provided by urgent care centers in Saudi Arabia, 2024: a cross-sectional study.BMC health services research · 2026Article
- Wellbeing at work among GPs working in multidisciplinary primary care teams: a cross-sectional study.BJGP open · 2026Article
- Team-based care in small primary care practices: a scoping review.BMC health services research · 2026Article
- Tracking the evolution of medical students' clinical documentation skills: a pilot study leveraging a simulated electronic record and a longitudinal panel data analysis.Frontiers in medicine · 2026Article
- Understanding factors that influence the drug choice of prescribers: A Q-methodology study.British journal of clinical pharmacology · 2025Article
- Implementation of Trauma-Informed Care into Clinical HIV Prevention and Care Settings: A Decade of Limited Progress.Current HIV/AIDS reports · 2025Review
- Interprofessional team-based primary care practice and preventive cancer screening: evidence from Family Health Teams in Ontario, Canada.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Implementation Mapping to Identify Strategies to Increase Timely Postoperative Radiotherapy Initiation for Head/Neck Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- The Gender Gap in EHR Workload: A Comparative Analysis of Primary Care Physician In Basket Usage.Journal of general internal medicine · 2025Observational
- Primary care staff members' experiences with managing electronic health record inbox messages.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Retaining doctors in organisations in socioeconomically deprived areas in England: a qualitative study.BMJ open · 2025Article
- Loneliness among family medicine providers and its impact on clinical and teaching practice.Scientific reports · 2025Article
- Addressing Bureaucratic Burdens on the Portuguese National Health Service: A Simplification Experience Aiming for Value-Based Healthcare.Healthcare (Basel, Switzerland) · 2025Article
- Learning health system research as a catalyst for promoting physician wellness: EHR InBasket Spring cleaning and team-based compassion practice.Learning health systems · 2025Article
106 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
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We highlight primary care innovations gathered from high-functioning primary care practices, innovations we believe can facilitate joy in practice and mitigate physician burnout. To do so, we made site visits to 23 high-performing primary care practices and focused on how these practices distribute functions among the team, use technology to their advantage, improve outcomes with data, and make the job of primary care feasible and enjoyable as a life's vocation. Innovations identified include (1) proactive planned care, with previsit planning and previsit laboratory tests; (2) sharing clinical care among a team, with expanded rooming protocols, standing orders, and panel management; (3) sharing clerical tasks with collaborative documentation (scribing), nonphysician order entry, and streamlined prescription management; (4) improving communication by verbal messaging and in-box management; and (5) improving team functioning through co-location, team meetings, and work flow mapping. Our observations suggest that a shift from a physician-centric model of work distribution and responsibility to a shared-care model, with a higher level of clinical support staff per physician and frequent forums for communication, can result in high-functioning teams, improved professional satisfaction, and greater joy in practice.
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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.