ArticleMedical care research and review : MCRR2021
A Mixed Methods Study of Change Processes Enabling Effective Transition to Team-Based Care.
Article in Medical care research and review : MCRR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis 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
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of quality improvement collaboratives in general practice: a qualitative systematic review.BMJ open quality · 2022Pooled it
- The Role of Nurses in General Practice: An Integrative Review.Journal of advanced nursing · 2026Review
- Patient partnership in primary health care systems of the future: a structured priority setting exercise.Research involvement and engagement · 2026Article
- Evaluation of a learning collaborative on team-based care: qualitative analysis of coaching calls using normalisation process theory.BMJ open quality · 2025Article
- Puerto Rican healthcare workers' perspectives on the impact of COVID-19 pandemic on their role, patient care, and mental health.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023Article
- Team-Based Primary Care Practice Transformation Initiative and Changes in Patient Experience and Recommended Cancer Screening Rates.Inquiry : a journal of medical care organization, provision and financingObservational
- Optimizing patient partnership in primary care improvement: A qualitative study.Health care management reviewArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Team-based care is considered central to achieving value in primary care, yet results of large-scale primary care transformation initiatives have been mixed. We explore how underlying change processes influence the effectiveness of transition to team-based care. We studied 12 academically affiliated primary care practices participating in a learning collaborative, using longitudinal staff survey data to measure progress toward team-based care and qualitative interviews with practice staff to understand practice transformation. Transformation efforts focused on team formation and capacity building for quality improvement. Using thematic analysis, we explored types of change processes undertaken and the relationship between change processes and effective team-based care. We identified three prototypical approaches to change: pursuing functional and cultural change processes, functional only, and cultural only. Practice sites prioritizing both change processes formed the most effective teams: simultaneous functional and cultural change spurred a mutually reinforcing virtuous cycle. We describe implications for research, practice, and policy.
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Registered trials
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