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Titre : | Toward Spanning the Quality Chasm: An Examination of Team Functioning Measures (2014) |
Auteurs : | Dale C. Strasser ; Andrea Backscheider Burridge ; Judith A. Falconer |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/11, 2014) |
Article en page(s) : | p. 2220-2223 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Équipe soignante ; Evaluation de processus en soins de santé ; Qualité des soins de santé ; Rééducation et réadaptation |
Mots-clés: | Patient care team ; Process assessment (Health Care) ; Quality of health care |
Résumé : |
Objective To examine the effect of 5 measures of team functioning on patient outcomes. Design Observational, exploratory, measurement. Team functioning surveys and patient outcomes collected 1 year apart in a clinical trial were analyzed. The findings are discussed in context of the domains of team functioning, team effectiveness, and quality improvement. Setting 27 Veterans Affairs medical centers. Participants Staff (t1: N=356; t2: N=273) on inpatient teams and patients (t1: N=4266; t2: N=3213) treated by the teams. Interventions Not applicable. Main Outcome Measures Five measures of team functioning (Physician Engagement, Shared Leadership, Supervisor Team Support, Teamness, and Team Effectiveness scales) and 3 measures of patient outcomes (functional improvement, discharge destination, and length of stay) were assessed at 2 time points with hierarchical generalized linear models to evaluate the association between team functioning measures and changes in patient outcomes. Results Associations (P<.05 between team functioning measures and patient outcomes were found for of the analyses over study period. higher physician engagement scale score was associated with lower length stay increased scores on teamness effectiveness scales correlated rates community discharge .049 respectively> Conclusions This exploratory analysis revealed trends that team functioning corresponds with patient outcomes in clinically relevant patterns. An increase in community discharge and a decrease in length of stay were associated with higher scores of team functioning. Here, we find evidence that modifiable attributes of team functioning have a measurable effect on patient outcomes. Such findings are promising and support the need for further research on team effectiveness. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314004705 |