Developing and measuring progress toward collaborative, integrated, interdisciplinary health care teams

In this article we report the results of a longitudinal study of an intervention to enhance interdisciplinary team functioning in a primary care setting. Components of the team development intervention are outlined. Team members' assessments of progress towards expressing values consistent with an effective team—as measured through the System for the Multiple Level Observation of Groups (SYMLOG)—are presented and discussed. Institutional, organizational, and team related supports and barriers that affect the development of collaborative, integrated teams are identified and discussed; implications for ensuring teams' success are presented.

[1]  S. Siegel,et al.  Ward H : an adventure in innovation , 1966 .

[2]  H. Wise,et al.  Making health teams work. , 1974, American journal of diseases of children.

[3]  Carl E. Larson,et al.  Teamwork: What Must Go Right/What Can Go Wrong , 1989 .

[4]  Chuck Kormanski,et al.  Team building patterns of academic groups , 1990 .

[5]  J. Katzenbach,et al.  The discipline of teams. , 1993, Harvard business review.

[6]  J. Buechler.  Advanced-practice nursing--good medicine for physicians? , 1994, The New England journal of medicine.

[7]  T. F. Miller,et al.  Characterizing motivational styles of professionals who work on interdisciplinary healthcare teams , 1996 .

[8]  V. Arcangelo,et al.  Collaborative care between nurse practitioners and primary care physicians. , 1996, Primary care.

[9]  Ed Wagner,et al.  Putting Population-Based Care Into Practice: Real Option or Rhetoric? , 1998, The Journal of the American Board of Family Medicine.

[10]  J. Coffman,et al.  Physicians and nonphysician clinicians: complements or competitors? , 1998, JAMA.

[11]  A. Wall,et al.  Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95 , 2000 .

[12]  Phillip G. Clark,et al.  Health Care Teamwork: Interdisciplinary Practice and Teaching , 2000 .

[13]  Alastair Baker,et al.  Crossing the Quality Chasm: A New Health System for the 21st Century , 2001, BMJ : British Medical Journal.

[14]  D. Freeth.  Sustaining interprofessional collaboration , 2001, Journal of interprofessional care.

[15]  R. Phillips,et al.  Can nurse practitioners and physicians beat parochialism into plowshares? , 2002, Health affairs.

[16]  G. Heinemann,et al.  A Model of Team Performance , 2002 .

[17]  M. Mundinger,et al.  Twenty‐first‐century Primary Care: New Partnerships between Nurses and Doctors , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[18]  G. Heinemann,et al.  Team Performance in Health Care , 2002 .

[19]  G. Heinemann,et al.  Team performance in health care : assessment and development , 2002 .

[20]  Andrea Altschuler,et al.  Understanding team-based quality improvement for depression in primary care. , 2002, Health services research.

[21]  A. Greiner,et al.  Health Professions Education: A Bridge to Quality , 2003 .