Evidence map›Paper›PMID 36441365›Full record

Observational studyJournal of general internal medicine2023

The Association of Teamlets and Teams with Physician Burnout and Patient Outcomes.

Lawrence P Casalino, Hye-Young Jung, Thomas Bodenheimer, Ivan Diaz, Melinda A Chen, Rachel Willard-Grace, Manyao Zhang, Phyllis Johnson, Yuting Qian, Eloise M O'Donnell and 1 more

Open access · bronzeAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. 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

11 authors at 4 institutions in 1 country.

Lawrence P CasalinoDepartment of Population Health Sciences, Weill Cornell Medical College, 402 E. 67th St. Room LA 217, New York, NY, 10065-6304, USA. Lac2021@med.cornell.edu.ORCID 0000-0002-7927-7859
Hye-Young JungDepartment of Population Health Sciences, Weill Cornell Medical College, 402 E. 67th St. Room LA 217, New York, NY, 10065-6304, USA.
Thomas BodenheimerUniversity of California, San Francisco, USA.
Ivan DiazDepartment of Population Health Sciences, Weill Cornell Medical College, 402 E. 67th St. Room LA 217, New York, NY, 10065-6304, USA.
Melinda A ChenUniversity of California, San Diego, USA.
Rachel Willard-GraceUniversity of California, San Francisco, USA.
Manyao ZhangDepartment of Population Health Sciences, Weill Cornell Medical College, 402 E. 67th St. Room LA 217, New York, NY, 10065-6304, USA.
Phyllis JohnsonDepartment of Population Health Sciences, Weill Cornell Medical College, 402 E. 67th St. Room LA 217, New York, NY, 10065-6304, USA.
Yuting QianYale University, New Haven, USA.
Eloise M O'DonnellDepartment of Population Health Sciences, Weill Cornell Medical College, 402 E. 67th St. Room LA 217, New York, NY, 10065-6304, USA.
Mark A UnruhDepartment of Population Health Sciences, Weill Cornell Medical College, 402 E. 67th St. Room LA 217, New York, NY, 10065-6304, USA.
Cornell University · USUniversity of California, San Francisco · USUniversity of California San Diego · USYale University · US

Funding

Primary Care Physician-Staff Dyads (?Teamlets?): A Simple, Efficient Means to Improve Healthcare Quality and Decrease Cost?R01HS025716 · AHRQ · WEILL MEDICAL COLL OF CORNELL UNIV · PI CASALINO, LAWRENCE PETER · 2018 to 2020
$1.1M
AHRQ HHS R01 HS025716
6 · The paper itself

Abstract

backgroundPrimary care "teamlets" in which a staff member and physician consistently work together might provide a simple, cost-effective way to improve care, with or without insertion within a team.

objectiveTo determine the prevalence and performance of teamlets and teams.

designCross-sectional observational study linking survey responses to Medicare claims.

participantsSix hundred eighty-eight general internists and family physicians.

interventionsBased on survey responses, physicians were assigned to one of four teamlet/team categories (e.g., teamlet/no team) and, in secondary analyses, to one of eight teamlet/team categories that classified teamlets into high, medium, and low collaboration as perceived by the physician (e.g., teamlet perceived-high collaboration/no team). MAIN MEASURES: Descriptive: percentage of physicians in teamlet/team categories. OUTCOME MEASURES: physician burnout; ambulatory care sensitive emergency department and hospital admissions; Medicare spending. KEY

results77.4% of physicians practiced in teamlets; 36.7% in teams. Of the four categories, 49.1% practiced in the teamlet/no team category; 28.3% in the teamlet/team category; 8.4% in no teamlet/team; 14.1% in no teamlet/no team. 15.7%, 47.4%, and 14.4% of physicians practiced in perceived high-, medium-, and low-collaboration teamlets. Physicians who practiced neither in a teamlet nor in a team had significantly lower rates of burnout compared to the three teamlet/team categories. There were no consistent, significant differences in outcomes or Medicare spending by teamlet/team or teamlet perceived-collaboration/team categories compared to no teamlet/no team, for Medicare beneficiaries in general or for dual-eligible beneficiaries.

conclusionsMost general internists and family physicians practice in teamlets, and some practice in teams, but neither practicing in a teamlet, in a team, or in the two together was associated with lower physician burnout, better outcomes for patients, or lower Medicare spending. Further study is indicated to investigate whether certain types of teamlet, teams, or teamlets within teams can achieve higher performance.

Indexed as

PhysiciansPrimary Health CareAgedBurnout, PsychologicalCross-Sectional StudiesHumansMedicareUnited Statesphysician burnoutprimary care teamsteamlets

Identifiers

PMID36441365
PMCPMC10160282
OpenAlexW4310128842

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.