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Expertise Redundancy, Transactive Memory, and Team Performance in Interdisciplinary Care Teams.

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Area of Science:

  • Healthcare Management
  • Team Dynamics
  • Cognitive Psychology

Background:

  • Interdisciplinary care teams (ICTs) are crucial for complex patient needs.
  • Understanding team dynamics like expertise redundancy and transactive memory (TM) is vital for optimizing ICT performance.
  • Existing research has not fully explored the interplay between expertise redundancy, TM, and ICT performance.

Purpose of the Study:

  • To investigate the relationship between expertise redundancy, TM accuracy, TM consensus, and team performance in ICTs.
  • To determine if TM can mitigate the negative effects of expertise redundancy on team performance.

Main Methods:

  • Longitudinal, observational study of 26 interdisciplinary mental health teams.
  • Measured expertise redundancy, TM accuracy, and TM consensus at baseline, 6, and 12 months.
  • Assessed team performance by risk-adjusted average client hospitalizations.

Main Results:

  • Expertise redundancy was associated with decreased team performance.
  • TM accuracy positively influenced team performance, with a stronger effect at higher levels of expertise redundancy.
  • TM consensus did not show a significant effect on team performance.

Conclusions:

  • TM acts as a cognitive coordination mechanism that can buffer the negative impact of complex knowledge structures in ICTs.
  • Enhancing TM accuracy is a potential strategy to improve ICT performance, particularly in teams with significant knowledge overlap.