Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Aug 31;9(9):1136.
doi: 10.3390/healthcare9091136.

Overcoming Obstacles to Develop High-Performance Teams Involving Physician in Health Care Organizations

Simon W Rabkin  1 , Mark Frein  1
Affiliations
Review

Overcoming Obstacles to Develop High-Performance Teams Involving Physician in Health Care Organizations

Simon W Rabkin et al. Healthcare (Basel). .

Abstract

Many health care organizations struggle and often do not succeed to be high-performance organizations that are not only efficient and effective but also enjoyable places to work. This review focuses on the physician and organizational roles in limiting achievement of a high-performance team in health care organizations. Ten dimensions were constructed and a number of competencies and metrics were highlighted to overcome the failures to: (i) Ensure that the goals, purpose, mission and vision are clearly defined; (ii) establish a supportive organizational structure that encourages high performance of teams; (iii) ensure outstanding physician leadership, performance, goal attainment; and (iv) recognize that medical team leaders are vulnerable to the abuses of personal power or may create a culture of intimidation/fear and a toxic work culture; (v) select a good team and team members-team members who like to work in teams or are willing and able to learn how to work in a team and ensure a well-balanced team composition; (vi) establish optimal team composition, individual roles and dynamics, and clear roles for members of the team; (vii) establish psychological safe environment for team members; (viii) address and resolve interpersonal conflicts in teams; (xi) ensure good health and well-being of the medical staff; (x) ensure physician engagement with the organization. Addressing each of these dimensions with the specific solutions outlined should overcome the constraints to achieving high-performance teams for physicians in health care organizations.

Keywords: health care culture; health care leadership; health care teams; high performance teams; physician burnout; physician engagement.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The interactions of a single team within a health care organization.
Figure 2
Figure 2
Graphical representation of the process of overcoming obstacles to develop high-performance teams involving physician in health care organizations.
Figure 3
Figure 3
The critical dimensions for creating a high-performance team with physicians, in health care organizations.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Heinemann G. Teams in Health Care Settings. In: Heinman G., Zeiss A., editors. Team Performance in Health Care. Assessment and Development. Springer Science & Business Media; New York, NY, USA: 2002. pp. 3–18.
    1. Colenso M. High Performing Teams. Butterworth & Heinemann; Oxford, UK: 1997.
    1. Kyle M., Aveling E.-L., Singer S.-J. Establishing High-Performing Teams: Lessons From Health Care. MIT Sloan Manag. Rev. 2020;61:14–18.
    1. Thiagarajan P., McKimm J. Mapping transactional analysis to clinical leadership models. Br. J. Hosp. Med. Lond. 2019;80:600–604. doi: 10.12968/hmed.2019.80.10.600. - DOI - PubMed
    1. Leggat S.G., Bartram T., Stanton P. High performance work systems: The gap between policy and practice in health care reform. J. Health Organ. Manag. 2011;25:281–297. doi: 10.1108/14777261111143536. - DOI - PubMed

LinkOut - more resources