Evidence map›Paper›PMID 25423886›Full record

ArticleHealth services research2015

Development and validation of the primary care team dynamics survey.

Hummy Song, Alyna T Chien, Josephine Fisher, Julia Martin, Antoinette S Peters, Karen Hacker, Meredith B Rosenthal, Sara J Singer

Abstract read
In one paragraph

Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

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0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hummy SongPhD Program in Health Policy (Management), Harvard University, Boston, MA.
Alyna T ChienDivision of General Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Josephine FisherDepartment of Health Policy and Management, Harvard School of Public Health, Boston, MA.
Julia MartinDivision of General Pediatrics, Boston Children's Hospital , Boston, MA.
Antoinette S PetersDepartment of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA.
Karen HackerAllegheny County Health Department, Pittsburgh, PA.
Meredith B RosenthalDepartment of Health Policy and Management, Harvard School of Public Health, Boston, MA.
Sara J SingerDepartment of Health Policy and Management, Harvard School of Public Health, Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and validate a survey instrument designed to measure team dynamics in primary care. DATA SOURCES/STUDY

settingWe studied 1,080 physician and nonphysician health care professionals working at 18 primary care practices participating in a learning collaborative aimed at improving team-based care. STUDY

designWe developed a conceptual model and administered a cross-sectional survey addressing team dynamics, and we assessed reliability and discriminant validity of survey factors and the overall survey's goodness-of-fit using structural equation modeling. DATA COLLECTION: We administered the survey between September 2012 and March 2013. PRINCIPAL

findingsOverall response rate was 68 percent (732 respondents). Results support a seven-factor model of team dynamics, suggesting that conditions for team effectiveness, shared understanding, and three supportive processes are associated with acting and feeling like a team and, in turn, perceived team effectiveness. This model demonstrated adequate fit (goodness-of-fit index: 0.91), scale reliability (Cronbach's alphas: 0.71-0.91), and discriminant validity (average factor correlations: 0.49).

conclusionsIt is possible to measure primary care team dynamics reliably using a 29-item survey. This survey may be used in ambulatory settings to study teamwork and explore the effect of efforts to improve team-based care. Future studies should demonstrate the importance of team dynamics for markers of team effectiveness (e.g., work satisfaction, care quality, clinical outcomes).

Indexed as

Attitude of Health PersonnelGroup ProcessesAdultCommunicationCross-Sectional StudiesFemaleHumansMaleMiddle AgedPatient Care TeamPrimary Health CarePsychometricsRacial GroupsReproducibility of Resultsprimary careSurveyteam dynamicsteam effectiveness

Identifiers

PMID25423886
PMCPMC4450936

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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.