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Team Processes in Canadian Primary Healthcare: A Realist Review
Maura MacPhee1, Geoffrey Wong2, Ruth Abrams3
1A professor of nursing at the University of British Columbia in Vancouver, BC, and teaches healthcare leadership and administration. She is a health services researcher who studies work environment factors related to psychological health and well-being. She can be reached by e-mail at maura.macphee@ubc.ca or by phone at 604-822-2891.
Abstract:
To provide effective, comprehensive care to increasingly complex patients in Canadian communities, healthcare providers are shifting from solo providers of primary care to interprofessional, team-based primary healthcare services. Team-based care is considered one of the most effective means of caring for complex patients, including frail elders and individuals with chronic illness, mental health issues and addictions. Team-based care relies on effective team processes, the social or relational processes that enhance team collaboration and decision making. This realist review will highlight the team processes associated with high-performing teams and provide team development and sustainment strategies for providers and healthcare decision makers.
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