Evidence map›Paper›PMID 31871439›Full record

ArticleInternational journal of integrated care2019

Can Organisational Culture of Teams Be a Lever for Integrating Care? An Exploratory Study.

Maike V Tietschert, Federica Angeli, Arno J A van Raak, Jonathan Clark, Sara J Singer, Dirk Ruwaard

Open access · goldAbstract read
In one paragraph

Article in International journal of integrated care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% of its field
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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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

6 authors at 1 institution in 1 country.

Maike V TietschertStanford Medical School, Primary Care and Population Health, Clinical Excellence Research, Stanford, CA, US.
Federica AngeliUniversity of York, The York Management School, Work, Management and Organization Group, York, UK.
Arno J A van RaakMaastricht University, Department of Health Services Research, Maastricht, NL.
Jonathan ClarkThe University of Texas at San Antonio, Department of Management, TX, US.
Sara J SingerStanford Medical School, Primary Care and Population Health, Stanford Business School (by courtesy), Stanford, CA, US.
Dirk RuwaardMaastricht University, Department of Health Services Research, Maastricht, NL.
Maastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOrganisational culture is believed to be an important facilitator for better integrated care, yet how organisational culture impacts integrated care remains underspecified. In an exploratory study, we assessed the relationship between organisational culture in primary care centres as perceived by primary care teams and patient-perceived levels of integrated care. THEORY AND

methodsWe analysed a sample of 2,911 patient responses and 17 healthcare teams in four primary care centres. We used three-level ordered logistic regression models to account for the nesting of patients within health care teams within primary care centres.

resultsOur results suggest a non-linear relationship between organisational culture at the team level and integrated care. A combination of different culture types-including moderate levels of production-oriented, hierarchical and team-oriented cultures and low or high levels of adhocracy cultures-related to higher patient-perceived levels of integrated care. CONCLUSIONS AND DISCUSSION: Organisational culture at the level of healthcare teams has significant associations with patient-perceived integrated care. Our results may be valuable for primary care organisations in their efforts to compose healthcare teams that are predisposed to providing better integrated care.

Indexed as

care integrationhealthcare teamsintegrated patient careOrganisational culturepatient experienceThe Netherlands

Identifiers

PMID31871439
PMCPMC6923772
OpenAlexW2994862443

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.