A Mixed Methods Study of Change Processes Enabling Effective Transition to Team-Based Care.

ABSTRACT: Team-based care is considered central to achieving value in primary care, yet results of large-scale primary care transformation initiatives have been mixed. We explore how underlying change processes influence the effectiveness of transition to team-based care. We studied 12 academically affiliated primary care practices participating in a learning collaborative, using longitudinal staff survey data to measure progress toward team-based care and qualitative interviews with practice staff to understand practice transformation. Transformation efforts focused on team formation and capacity building for quality improvement. Using thematic analysis, we explored types of change processes undertaken and the relationship between change processes and effective team-based care. We identified three

SUBMITTER: Kyle MA 

PROVIDER: S-EPMC8295944 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature