Expertise Redundancy, Transactive Memory, and Team Performance in Interdisciplinary Care Teams

Xi Zhu; Douglas R. Wholey

doi:10.1111/1475-6773.12996

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Expertise Redundancy, Transactive Memory, and Team Performance in Interdisciplinary Care Teams

Journal article

Open access

Peer reviewed

Expertise Redundancy, Transactive Memory, and Team Performance in Interdisciplinary Care Teams

Xi Zhu and Douglas R. Wholey

Health services research, Vol.53(6), pp.4921-4942

06/12/2018

DOI: 10.1111/1475-6773.12996

PMCID: PMC6232407

PMID: 29896805

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https://doi.org/10.1111/1475-6773.12996View

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Abstract

Objective: To examine how expertise redundancy and transactive memory (TM) in interdisciplinary care teams (ICTs) are related to team performance. Data Sources/Study Setting: Survey and administrative data were collected from 26 interdisciplinary mental health teams. Study Design: The study used a longitudinal, observational design. Independent variables were measured at baseline, 6, and 12 months: expertise redundancy (the extent to which team members possess highly overlapping knowledge), TM accuracy (the extent to which team members accurately recognize experts in relevant knowledge domains), and TM consensus (the extent to which team members agree on who is expert in which knowledge domain). Team performance was measured as risk-adjusted average number of client hospitalization for the 6 months following each survey. Data Collection Methods: Survey data were collected by the authors. Administrative data were collected by the state's administrative agency. Principal Findings: Expertise redundancy had a negative effect on performance. TM accuracy had a positive effect on performance, and such effect was stronger when expertise redundancy was higher. No significant effect was found on TM consensus. Conclusions: Transactive memory could serve as a cognitive coordination mechanism for mitigating the negative effect of complex knowledge structure in ICTs.

Interdisciplinary care teams

performance

transactive memory

Workforce Practice Patterns and Outcomes

Details

Title: Subtitle: Expertise Redundancy, Transactive Memory, and Team Performance in Interdisciplinary Care Teams
Creators: Xi Zhu - University of Iowa
Douglas R. Wholey - University of Minnesota
Resource Type: Journal article
Publication Details: Health services research, Vol.53(6), pp.4921-4942
DOI: 10.1111/1475-6773.12996
PMID: 29896805
PMCID: PMC6232407
NLM abbreviation: Health Serv Res
ISSN: 0017-9124
eISSN: 1475-6773
Publisher: John Wiley and Sons Inc
Grant note: SES 0719257 / National Science Foundation
Language: English
Date published: 06/12/2018
Academic Unit: Health Management and Policy
Record Identifier: 9984363612102771

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