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Review Article: Effectiveness of Patient Care Teams and the Role of Clinical Expertise and Coordination

Health care is increasingly provided by teams of health professionals rather than by individual doctors. For decision makers, it is imperative to identify the critical elements for effective teams to transform health care workplaces into effective team-based environments. The authors reviewed the re...

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Published in:Medical Care Research and Review 2009, Vol.66 (6_suppl), p.5S-35S
Main Authors: Bosch, Marije, Faber, Marjan J., Cruijsberg, Juliette, Voerman, Gerlienke E., Leatherman, Sheila, Grol, Richard P. T. M., Hulscher, Marlies, Wensing, Michel
Format: Review
Language:English
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container_end_page 35S
container_issue 6_suppl
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container_title Medical Care Research and Review
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creator Bosch, Marije
Faber, Marjan J.
Cruijsberg, Juliette
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Hulscher, Marlies
Wensing, Michel
description Health care is increasingly provided by teams of health professionals rather than by individual doctors. For decision makers, it is imperative to identify the critical elements for effective teams to transform health care workplaces into effective team-based environments. The authors reviewed the research literature published between 1990 and February 2008. The available research indicated that teams with enhanced clinical expertise improved professional performance and had mixed effects on patient outcomes. Teams with improved coordination had some positive effects on patient outcomes and limited effects on costs and resource utilization. The combination of enhanced expertise and coordination only showed some limited effect on patient outcomes. The authors conclude that enhancement of the clinical expertise is a potentially effective component of improving the impact of patient care teams. The added value of coordination functions remained unclear. Overall, current studies provide little insight into the underlying mechanisms of teamwork.
doi_str_mv 10.1177/1077558709343295
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title Review Article: Effectiveness of Patient Care Teams and the Role of Clinical Expertise and Coordination
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