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 Dec;67(12):897-904.
doi: 10.46747/cfp.6712897.

Team-based care Evaluation and Adoption Model (TEAM) Framework: Supporting the comprehensive evaluation of primary care transformation over time

Affiliations
Review

Team-based care Evaluation and Adoption Model (TEAM) Framework: Supporting the comprehensive evaluation of primary care transformation over time

Sarah C Fletcher et al. Can Fam Physician. 2021 Dec.

Abstract

Objective: To introduce the new Team-based care Evaluation and Adoption Model (TEAM) Framework.

Quality of evidence: The initial TEAM Framework was derived from a series of reviews and consultations with academic and clinical experts. In a parallel process, team-based primary and community care evaluation in Canada was assessed through a structured review of academic literature, followed by a review of policy literature of existing primary care evaluation frameworks.

Main message: The review of academic articles alongside an analysis of policy documents and existing evaluation frameworks in primary care resulted in the development of the 10-dimension TEAM Framework.

Conclusion: Primary care transformation requires evaluation over time. The TEAM Framework provides a comprehensive framework for assessing evidence needed to support short- and long-term actionable improvements for team-based primary and community care in Canada. This framework will inform the development of an evaluation tool kit for primary care teams.

Objectif: Présenter le nouveau cadre modèle d’évaluation et d’adoption des soins en équipe TEAM.

Qualité des données: Le cadre TEAM initial était dérivé d’une série de revues, et de consultations avec des experts scientifiques et cliniques. Dans un processus parallèle, l’évaluation des soins primaires et communautaires en équipe au Canada a été analysée au moyen d’une revue structurée des ouvrages scientifiques, suivie par un examen de la documentation sur les politiques dans les cadres existants d’évaluation des soins primaires.

Message principal: La revue des articles scientifiques, et l’analyse des documents sur les politiques et des cadres d’évaluation existants en soins primaires se sont traduites par l’élaboration du cadre TEAM en 10 dimensions.

Conclusion: La transformation des soins primaires demande une évaluation au fil du temps. Le cadre TEAM offre un cadre complet pour évaluer les données factuelles voulues pour appuyer des améliorations réalisables à court et à long terme dans les soins primaires et communautaires en équipe au Canada. Ce cadre documentera l’élaboration d’une trousse d’outils d’évaluation à l’intention des équipes de soins primaires.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
TEAM Framework development process
Figure 2.
Figure 2.
Evaluation model of the TEAM Framework
Figure 3.
Figure 3.
Adoption model of the TEAM framework

References

    1. Best A, Greenhalgh T, Lewis S, Saul JE, Carroll S, Bitz J.. Large-system transformation in health care: a realist review. Milbank Q 2012;90(3):421-56. - PMC - PubMed
    1. Berwick DM, Nolan TW, Whittington J.. The triple aim: care, health, and cost. Health Aff (Millwood) 2008;27(3):759-69. - PubMed
    1. Bodenheimer T, Sinsky C.. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med 2014;12(6):573-6. - PMC - PubMed
    1. Bourgeault IL, Mulvale G.. Collaborative health care teams in Canada and the USA: confronting the structural embeddedness of medical dominance. Health Sociol Rev 2006;15(5):481-95.
    1. Brown JB, Ryan BL, Thorpe C.. Processes of patient-centred care in family health teams: a qualitative study. CMAJ Open 2016;4(2):E271-6. - PMC - PubMed