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01-11-2018 | Capsule Commentary

Capsule Commentary on Misra-Hebert et al., Implementing Team-Based Primary Care Models: A Mixed-Methods Comparative Case Study in a Large, Integrated Health Care System

Author: Marianna Kong, MD

Published in: Journal of General Internal Medicine | Issue 11/2018

Excerpt

In this study, Misra-Hebert et al.¹ approach the complex process of team-based care implementation in primary care practices with a mixed methods study of nine practices within a larger integrated health system, with the goal of identifying practice characteristics that contributed to successful adoption of new team models. The investigators classified the practices into groups of low, medium, and high uptake of the new models and found that between these groups, the thematic differences in qualitative data were in the levels of practice responsiveness to change and flexibility around team roles. These in turn were mediated by the strength of local leadership and stable staffing in the practices. …

Misra-Hebert AD, Perzynski A, Rothberg MB, Fox J, Mercer MB, Liu X, Hu B, Aron DC, Stange KC. Implementing Team-Based Primary Care Models: A Mixed-Methods Comparative Case Study in a Large, Integrated Health Care System J Gen Intern Med. 2018. https://doi.org/10.1007/s11606-018-4611-7

Bodenheimer T, Ghorob A, Willard-Grace R, Grumbach K. The 10 building blocks of high-performing primary care. Ann Fam Med. 2014;12:166–171.CrossRefPubMedPubMedCentral

Patel, M. S., Arron, M. J., Sinsky, T. A., Green, E. H., Baker, D. W., Bowen, J. L., & Day, S. Estimating the staffing infrastructure for a patient-centered medical home. Am J Manag Care. 2013;19:509–516.PubMed

Ghorob A, Bodenheimer T. Building teams in primary care: a practical guide. Fam Syst Health. 2015;33:182–192.CrossRefPubMed

O’Malley, A. S., Gourevitch, R., Draper, K., Bond, A., & Tirodkar, M. A. Overcoming challenges to teamwork in patient-centered medical homes: A qualitative study. J Gen Intern Med. 2015;30:183–192.CrossRefPubMed

Title: Capsule Commentary on Misra-Hebert et al., Implementing Team-Based Primary Care Models: A Mixed-Methods Comparative Case Study in a Large, Integrated Health Care System
Author: Marianna Kong, MD
Publication date: 01-11-2018
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 11/2018
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-018-4643-z

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Capsule Commentary on Misra-Hebert et al., Implementing Team-Based Primary Care Models: A Mixed-Methods Comparative Case Study in a Large, Integrated Health Care System

Excerpt

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