The formation mechanism of primary health care team effectiveness : a qualitative comparative analysis research

© 2024. The Author(s)..

BACKGROUND: Team-based care is an essential part of primary health care (PHC), and its team service delivery process is a systematic one involving multiple and complex influences. Research on the formation mechanism can help improve the effectiveness of primary health care teams (PHCTs).

METHODS: First, based on the Donabedian model, we explored the theoretical framework of a PHC team's effectiveness formation mechanism. Semi-structured interviews were conducted with 23primary health care team members in Hangzhou, Zhejiang Province, China. A total of seven factors were then included as conditional variables using the crisp set qualitative comparative analysis (csQCA) to explore the complex influences between them and the outcome variable through univariate necessity analysis and path configuration analysis.

RESULTS: Univariate necessity analysis showed that only "Clear Goals" in the structural dimension were necessary for team effectiveness perception. Six pathways to good primary health care team perception of effectiveness were identified. Two of these paths were more typical.

CONCLUSION: "Clear Goals" was the core variable that should be emphasized when exploring the mechanism of PHCT formation. The results suggest that human resources in the management team should be rationally allocated, goal-oriented, and given good attention. Future studies should explore complex combinations of PHCT factors to improve the effectiveness of PHCTs.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

BMC primary care - 25(2024), 1 vom: 29. Jan., Seite 45

Sprache:

Englisch

Beteiligte Personen:

Li, Chanjiao [VerfasserIn]
Cui, Lu [VerfasserIn]
Zhou, Siyu [VerfasserIn]
He, Anning [VerfasserIn]
Ni, Ziling [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Primary health care team
Qualitative comparative analysis
Research Support, Non-U.S. Gov't
Team effectiveness

Anmerkungen:

Date Completed 31.01.2024

Date Revised 29.02.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12875-024-02278-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367775956