Evidence map›Paper›PMID 29898949›Full record

ArticleCanadian family physician Medecin de famille canadien2018

Processes that influence the evolution of family health teams.

Judith Belle Brown, Bridget L Ryan

Abstract readEvaluation Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  3. Synergies, Discrepancies, and Action Priorities: A Statewide Engagement Study to Strengthen Clinical Research in Cerebral Palsy.Health expectations : an international journal of public participation in health care and health policy · 2025
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  11. Patient perspectives on quality of care for depression and anxiety in primary health care teams: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Judith Belle BrownProfessor and Chair of the MClSc and PhD programs in the Centre for Studies in Family Medicine in the Department of Family Medicine at the Schulich School of Medicine and Dentistry at Western University in London, Ont, and Professor at the School of Social Work at King's University College in London. jbbrown@uwo.ca.
Bridget L RyanAssistant Professor in the Centre for Studies in Family Medicine in the Department of Family Medicine and the Department of Epidemiology and Biostatistics at the Schulich School of Medicine and Dentistry at Western University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the processes that influence the evolution of family health teams (FHTs).

designQualitative study using grounded theory methodology.

settingFamily health teams in Ontario.

participantsA total of 110 team members from 20 FHT sites in Ontario.

methodsIndividual semistructured interviews were conducted and data were analyzed using initial coding, focused coding, and a constant comparison analysis. MAIN

findingsThe analysis illuminated the complex and diverse nature of the FHTs' evolutionary trajectories, which were influenced by 7 discrete but interrelated processes: sharing a common philosophy about teamwork; having effective leadership; respecting each other's scopes of practice; sharing the physical environment; including team activities; supporting conflict resolution; and managing change. The status of each site's evolution was categorized as evolving, progressing, or stalled.

conclusionThe concept of evolution by its very definition does not imply stasis, and as the data revealed, change is always on the horizon. This study revealed 7 processes that influenced team evolution, and these processes were observed to be either optimally applied or noticeably limited in their execution, irrespective of team composition or configuration. These processes can be extrapolated to other primary health care teams to facilitate team evolution.

Indexed as

Family HealthDelivery of Health CareGrounded TheoryHumansInterprofessional RelationsOntarioPatient Care TeamPrimary Health CareProcess Assessment, Health CareQualitative Research

Identifiers

PMID29898949
PMCPMC5999255

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.