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Home Research Research Library Team Configurations, Efficiency, and Family Physician Burnout Team Configurations, Efficiency, and Family Physician Burnout 2020 Author(s) Dai, Mingliang, Willard-Grace, Rachel, Knox, Margae, Larson, Samantha A, Magill, Michael K, Grumbach, Kevin, and Peterson, Lars E Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Continuing Certification Questionnaires, Practice Organization / Ownership, Teams, and Physician Experience (Burnout / Satisfaction) Volume 33(3):368-377 Source Journal of the American Board of Family Medicine Introduction: The delivery of team-based care relies on team structure and teamwork. Little is known about the landscape of team configurations in family medicine practices in the United States. Teamwork between diverse team members likely impacts both performance and physician well-being. We examined team configuration and teamwork and whether they are associated with family physician (FP) well-being. Methods: We used data from practice demographic questionnaires completed by FPs who registered for the American Board of Family Medicine Family Medicine Certification Examination in 2017 and 2018. We grouped 14 types of health care professionals into medical assistant (MA)/nurse, nurse practitioner (NP)/physician assistant (PA), and specialist, and we characterized 3 common team configurations. We used FPs’ subjective ratings to measure perceived teamwork efficiency and a validated single-item measure to identify FPs who were burned out. Results: Among 2575 FPs in our sample, 22% worked collaboratively with MA/nurse only; 40% with MA/nurse and NP/PA or specialist; and 38% with MA/nurse, NP/PA, and specialist. The distribution of perceived teamwork efficiency was not statistically different across team configurations. In teams with greater perceived teamwork efficiency, FPs were less likely to be burned out. For FPs working with expansive teams, optimal perceived teamwork efficiency was associated with significantly reduced odds of burnout after controlling for practice and physician characteristics. Conclusion: Most FPs practice in multidisciplinary teams. Regardless of the team structure, FPs who perceived their teams as having greater efficiency were less likely to be burned out. We found that optimal perceived teamwork efficiency was associated with significantly reduced odds of burnout for FPs in all types of team configurations. Improving teamwork efficiency may be an effective strategy for practice organizations to support not only team functioning but also physician well-being. Read More ABFM Research Read all 2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community 2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why? 2016 Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians Go to Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians 2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices
Author(s) Dai, Mingliang, Willard-Grace, Rachel, Knox, Margae, Larson, Samantha A, Magill, Michael K, Grumbach, Kevin, and Peterson, Lars E Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Continuing Certification Questionnaires, Practice Organization / Ownership, Teams, and Physician Experience (Burnout / Satisfaction) Volume 33(3):368-377 Source Journal of the American Board of Family Medicine
ABFM Research Read all 2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community 2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why? 2016 Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians Go to Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians 2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices
2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community
2019 Endoscopic Services in the United States: By Whom, for What, and Why? Go to Endoscopic Services in the United States: By Whom, for What, and Why?
2016 Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians Go to Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians
2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices