ArticleCanadian family physician Medecin de famille canadien2022
Teams of rural physicians matter: Testing a framework of team effectiveness.
Article in Canadian family physician Medecin de famille canadien, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Changes in patient-sharing patterns after oncologist departures in rural and urban settings: a Medicare cohort study.Applied network science · 2026Article
- Article
- Supporting future and current rural physicians.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Stronger and more beautiful.Canadian family physician Medecin de famille canadien · 2022Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine how rural physician team effectiveness predicts outcomes of team performance, team commitment, and intentions to stay.
designSurveys measuring team climate, team efficacy, and team performance were sent to rural physician team members. Surveys measuring team performance were sent to external observers in supervisory positions.
settingNorthern Ontario communities.
participantsRural physicians and external observers, the latter including hospital chief executive officers, family health team executive directors, and clinic managers. MAIN OUTCOMES MEASURES: Total scale scores were generated using mean substitution. Cronbach α was used to assess internal consistencies of team member-level measures. Team-level measures were created by averaging the responses across team members, and intraclass correlation coefficients for each scale of each team of 2 or more members were calculated to yield a measure of rating consistency. A
resultsOverall, 70 rural physicians from 26 Rural and Northern Physician Group Agreement communities with 2 or more physicians and 25 external observers from 19 of the 26 Rural and Northern Physician Group Agreement communities participated in the study. The findings showed that team climate (composed of decision making, communication, and conflict resolution measures) positively predicted team efficacy, which in turn positively predicted team performance. This fully mediated set of relationships held whether team performance was rated by the physicians themselves or by the external observers. Team efficacy significantly predicted affective team commitment (
conclusionThe findings support initiatives that attempt to enhance physician team effectiveness in rural physician teams by influencing team decision making, communication, and conflict resolution to improve team performance, physician attitudes, and commitment.
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