Experiences of primary care physicians and staff following lean workflow redesign.

ABSTRACT:

Background

In response to growing pressures on primary care, leaders have introduced a wide range of workforce and practice innovations, including team redesigns that delegate some physician tasks to nonphysicians. One important question is how such innovations affect care team members, particularly in view of growing dissatisfaction and burnout among healthcare professionals. We examine the work experiences of primary care physicians and staff after implementing Lean-based workflow redesigns. This included co-locating physician and medical assistant dyads, delegating significant responsibilities to nonphysician staff, and mandating greater coordination and communication among all care team members.

Methods

The redesigns were implemented and scaled in three phases across 46

SUBMITTER: Hung DY 

PROVIDER: S-EPMC5894127 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature