Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.
until further notice
SourceMedical Care Research and Review, 66, 6 Suppl, (2009), pp. 5S-35S
Article / Letter to editor
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Primary and Community Care
Centre for Quality of Care Research
Medical Care Research and Review
iss. 6 Suppl
SubjectNCEBP 3: Implementation Science; NCEBP 4: Quality of hospital and integrated care; NCEBP 3: Implementation Science
Health care is increasingly provided by teams of health professionals rather than by individual doctors. For decision makers, it is imperative to identify the critical elements for effective teams to transform health care workplaces into effective team-based environments. The authors reviewed the research literature published between 1990 and February 2008. The available research indicated that teams with enhanced clinical expertise improved professional performance and had mixed effects on patient outcomes. Teams with improved coordination had some positive effects on patient outcomes and limited effects on costs and resource utilization. The combination of enhanced expertise and coordination only showed some limited effect on patient outcomes. The authors conclude that enhancement of the clinical expertise is a potentially effective component of improving the impact of patient care teams. The added value of coordination functions remained unclear. Overall, current studies provide little insight into the underlying mechanisms of teamwork.
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