ArticlePrimary health care research & development2026
Association between team functioning and self-efficacy and quality of life for primary care patients in British Columbia, Nova Scotia, and Ontario.
Article in Primary health care research & development, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
aimWe aimed to examine the association between team functioning in primary care and patients' self-efficacy and quality of life. We also examined the moderation effect of multimorbidity and social vulnerability on this association.
backgroundTeam-based care has been adopted as an appropriate model to deliver comprehensive primary care services to meet the complex needs of patients. Little is known about the association between team functioning and patients' self-efficacy for managing chronic conditions (SEMCD) and quality of life.
methodsWe used mixed-random effect modelling to analyse secondary cross-sectional data. Data were collected in primary care practices in three Canadian regions. Dependent variables included patients' SEMCD and quality of life. The independent variable was team functioning measured using the Team Climate Inventory scale (TCI). We also included two interaction terms: social vulnerability and TCI, and multimorbidity and TCI. Control variables included patient characteristics, patients' experience with care and practice characteristics.
findingsEighty-seven practices and 1,929 patients participated in the study. Of these, 67% were female, 5% had two or more social vulnerabilities and 65% had multimorbidity. Regression analyses failed to find an association between team functioning and patients' self-efficacy or quality of life. There was a strong positive association between team functioning and self-efficacy for people with multimorbidity (
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