ArticleBJGP open2024
The effect of general practice team composition and climate on staff and patient experiences: a systematic review.
Article in BJGP open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
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Who cites it
6 citing papers in PubMed.
- Organisational and social work-environment experiences after care manager implementation: a repeated cross-sectional study in Swedish primary care.Scandinavian journal of primary health care · 2026Article
- English general practice in a period of change: a mixed-methods study of staff and patient perspectives.BJGP open · 2026Article
- General practitioners' relational familiarity with home-dwelling patients in the palliative phase: Basis - or bias - for individualised care.Palliative care and social practice · 2026Article
- Team climate, job satisfaction, burnout and practice performance: results of a national survey of staff in general practices in England.BMC primary care · 2025Article
- Drivers of primary care appointment volumes before and after the COVID-19 pandemic: a longitudinal study.BMC health services research · 2025Article
- Effect of Additional Roles Reimbursement Scheme roles on prescription patterns and patient satisfaction in England: a retrospective panel data analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent policy initiatives seeking to address the workforce crisis in general practice have promoted greater multidisciplinarity. Evidence is lacking on how changes in staffing and the relational climate in practice teams affect the experiences of staff and patients.
aimTo synthesise evidence on how the composition of the practice workforce and team climate affect staff job satisfaction and burnout, and the processes and quality of care for patients. DESIGN &
settingA systematic literature review of international evidence.
methodFour different searches were carried out using MEDLINE, Embase, Cochrane Library, CINAHL, PsycINFO, and Web of Science. Evidence from English language articles from 2012-2022 was identified, with no restriction on study design. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed and data were synthesised thematically.
resultsIn total, 11 studies in primary healthcare settings were included, 10 from US integrated healthcare systems, one from Canada. Findings indicated that when teams are understaffed and work environments are stressful, patient care and staff wellbeing suffer. However, a good relational climate can buffer against burnout and protect patient care quality in situations of high workload. Good team dynamics and stable team membership are important for patient care coordination and job satisfaction. Female physicians are at greater risk of burnout.
conclusionEvidence regarding team composition and team climate in relation to staff and patient outcomes in general practice remains limited. Challenges exist when drawing conclusions across different team compositions and definitions of team climate. Further research is needed to explore the conditions that generate a 'good' climate.
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