ArticleImplementation science : IS2019
Impact of team configuration and team stability on primary care quality.
Article in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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.
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.
Who cites it
15 citing papers in PubMed.
- The Impact of Teamwork Climate on Hospital Employees' Job Satisfaction and Perceived Healthcare Quality.Healthcare (Basel, Switzerland) · 2026Article
- Changes in patient-sharing patterns after oncologist departures in rural and urban settings: a Medicare cohort study.Applied network science · 2026Article
- Breast cancer patients' perceptions of safety: insights from the Italian NHS.BMC health services research · 2025Article
- Impact of Primary Care Team Configuration on Access and Quality of Care.Journal of general internal medicine · 2025Observational
- Attitudes of Physicians and Nurses Toward Interprofessional Collaboration: a Systematic Literature Review.Materia socio-medica · 2025Article
- Turnover intention and influential factors among primary healthcare workers in Guangdong province, China: a cross-sectional study.BMJ open · 2024Article
- Churning the tides of care: when nurse turnover makes waves in patient access to primary care.BMC nursing · 2024Article
- Primary health care team faultlines and team performance: the mediating role of knowledge sharing.Frontiers in psychology · 2024Article
- Clinical Multiteam System Composition and Complexity Among Newly Diagnosed Early-Stage Breast, Colorectal, and Lung Cancer Patients With Multiple Chronic Conditions: A SEER-Medicare Analysis.JCO oncology practice · 2023Article
- What can we learn from COVID-19?: examining the resilience of primary care teams.Frontiers in psychology · 2023Article
- Care delivery team composition effect on hospitalization risk in African Americans with congestive heart failure.PloS one · 2023Article
- Team is brain: leveraging EHR audit log data for new insights into acute care processes.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study.BMC health services research · 2022Article
- Analyzing the Job Demands-Control-Support Model in Work-Life Balance: A Study among Nurses in the European Context.International journal of environmental research and public health · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThe science of effective teams is well documented; far less is known, however, about how specific team configurations may impact primary care team effectiveness. Further, teams experiencing frequent personnel changes (perhaps as a consequence of poor implementation) may have difficulty delivering effective, continuous, well-coordinated care. This study aims to examine the extent to which primary care clinics in the Veterans Health Administration have implemented team configurations consistent with recommendations based on the Patient-Centered Medical Home model and the extent to which adherence to said recommendations, team stability, and role stability impact healthcare quality. Specifically, we expect to find better clinical outcomes in teams that adhere to recommended team configurations, teams whose membership and configuration are more stable over time, and teams whose clinical manager role is more stable over time. METHODS/
designWe will employ a combination of social network analysis and multilevel modeling to conduct a database review of variables extracted from the Veterans Health Administration's Team Assignments Report (TAR) (one of the largest, most diverse existing national samples of primary care teams (n DISCUSSION: We are unaware of other studies of healthcare teams that consider team size, composition, and configuration longitudinally or with sample sizes of this magnitude. Results from this study can inform primary care team implementation policy and practice in both private- and public-sector clinics, such that teams are configured optimally, with adequate staffing, and the right mix of roles within the team.
trial registrationNot applicable-this study does not involve interventions on human participants.
Indexed as
Identifiers
What OpenQuestion holds
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.