Team Processes in Canadian Primary Healthcare: A Realist Review

Maura MacPhee¹, Geoffrey Wong², Ruth Abrams³, Katelyn Merrett⁴

Affiliations

¹ A 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.
² A part-time clinical research fellow at the University of Oxford, UK, and family physician in the UK's National Health Service. His research interests are in the use of realist research approaches to make sense of complex healthcare interventions so as to be able to produce findings that are useful to patients, clinicians and policy and decision makers. He can be reached by e-mail at geoffrey.wong@phc.ox.ac.uk or by phone at +44 1865 289 300.
³ A researcher at the University of Surrey, UK. She is an organizational psychologist whose research focuses on role boundaries among homecare workers, work delegation within primary care and multidisciplinary teamwork in general healthcare settings. She can be reached by e-mail at r.abrams@surrey.ac.uk.
⁴ A research assistant at the University of British Columbia in Vancouver, BC, and a practising registered nurse in acute renal and hospice care.

PMID: 32762821
DOI: 10.12927/hcq.2020.26274

Review

Team Processes in Canadian Primary Healthcare: A Realist Review

Maura MacPhee et al. Healthc Q. 2020 Jul.

. 2020 Jul;23(2):50-57.

doi: 10.12927/hcq.2020.26274.

Authors

Maura MacPhee¹, Geoffrey Wong², Ruth Abrams³, Katelyn Merrett⁴

Affiliations

¹ A 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.
² A part-time clinical research fellow at the University of Oxford, UK, and family physician in the UK's National Health Service. His research interests are in the use of realist research approaches to make sense of complex healthcare interventions so as to be able to produce findings that are useful to patients, clinicians and policy and decision makers. He can be reached by e-mail at geoffrey.wong@phc.ox.ac.uk or by phone at +44 1865 289 300.
³ A researcher at the University of Surrey, UK. She is an organizational psychologist whose research focuses on role boundaries among homecare workers, work delegation within primary care and multidisciplinary teamwork in general healthcare settings. She can be reached by e-mail at r.abrams@surrey.ac.uk.
⁴ A research assistant at the University of British Columbia in Vancouver, BC, and a practising registered nurse in acute renal and hospice care.

PMID: 32762821
DOI: 10.12927/hcq.2020.26274

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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Team Processes in Canadian Primary Healthcare: A Realist Review

Affiliations

Team Processes in Canadian Primary Healthcare: A Realist Review

Authors

Affiliations

Abstract

Publication types

MeSH terms