Implementing team-based primary care models: a mixed-methods comparative case study in a large, integrated health care system.

ABSTRACT:

Background

Successful implementation of new care models within a health system is likely dependent on contextual factors at the individual sites of care.

Objective

To identify practice setting components contributing to uptake of new team-based care models.

Design

Convergent mixed-methods design.

Participants

Employees and patients of primary care practices implementing two team-based models in a large, integrated health system.

Main measures

Field observations of 9 practices and 75 interviews, provider and staff surveys to assess adaptive reserve and burnout, analysis of quality metrics, and patient panel comorbidity scores. The data were collected simultaneously, then merged, thematically analyzed, and interpreted by a multidisciplinary team.

Key re

SUBMITTER: Misra-Hebert AD 

PROVIDER: S-EPMC6206362 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature