Evidence map›Paper›PMID 34546947›Full record

ArticleAnnals of family medicine

Primary Care 2.0: A Prospective Evaluation of a Novel Model of Advanced Team Care With Expanded Medical Assistant Support.

Jonathan G Shaw, Marcy Winget, Cati Brown-Johnson, Timothy Seay-Morrison, Donn W Garvert, Marcie Levine, Nadia Safaeinili, Megan R Mahoney

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Organizational interventions and occupational burnout: a meta-analysis with focus on exhaustion.International archives of occupational and environmental health · 2023
    Pooled it
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  10. Ambient artificial intelligence scribes: utilization and impact on documentation time.Journal of the American Medical Informatics Association : JAMIA · 2025
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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

8 authors at 2 institutions in 1 country.

Jonathan G ShawEvaluation Sciences Unit, Division of Primary Care & Population Health, Stanford University School of Medicine, Stanford, California jgshaw@stanford.edu.
Marcy WingetEvaluation Sciences Unit, Division of Primary Care & Population Health, Stanford University School of Medicine, Stanford, California.
Cati Brown-JohnsonEvaluation Sciences Unit, Division of Primary Care & Population Health, Stanford University School of Medicine, Stanford, California.
Timothy Seay-MorrisonStanford Health Care, Stanford, California.
Donn W GarvertEvaluation Sciences Unit, Division of Primary Care & Population Health, Stanford University School of Medicine, Stanford, California.
Marcie LevineEvaluation Sciences Unit, Division of Primary Care & Population Health, Stanford University School of Medicine, Stanford, California.
Nadia SafaeiniliEvaluation Sciences Unit, Division of Primary Care & Population Health, Stanford University School of Medicine, Stanford, California.
Megan R MahoneyEvaluation Sciences Unit, Division of Primary Care & Population Health, Stanford University School of Medicine, Stanford, California.
Stanford University · USStanford Health Care · US

Funding

AHRQ HHS T32 HS022241
6 · The paper itself

Abstract

purposeAssess effectiveness of Primary Care 2.0: a team-based model that incorporates increased medical assistant (MA) to primary care physician (PCP) ratio, integration of advanced practice clinicians, expanded MA roles, and extended the interprofessional team.

methodsProspective, quasi-experimental evaluation of staff/clinician team development and wellness survey data, comparing Primary Care 2.0 to conventional clinics within our academic health care system. We surveyed before the model launch and every 6-9 months up to 24 months post implementation. Secondary outcomes (cost, quality metrics, patient satisfaction) were assessed via routinely collected operational data.

resultsTeam development significantly increased in the Primary Care 2.0 clinic, sustained across all 3 post implementation time points (+12.2, +8.5, + 10.1 respectively, vs baseline, on the 100-point Team Development Measure) relative to the comparison clinics. Among wellness domains, only "control of work" approached significant gains (+0.5 on a 5-point Likert scale,

conclusionsThe Primary Care 2.0 model of enhanced team-based primary care demonstrates team development is a plausible key to protect against burnout, but is not sufficient alone. The results reinforce that transformation to team-based care cannot be a 1-time effort and institutional commitment is integral.

Indexed as

Burnout, ProfessionalPhysicians, Primary CareHumansPatient Care TeamPatient SatisfactionPrimary Health CareSurveys and Questionnairesburnouthealthcare teamhealthcare workforceorganizational innovationprimary care team

Identifiers

PMID34546947
PMCPMC8437557
OpenAlexW3199758658

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.