Journal article
Perceptions of Responsibilities by Primary Care Staff in a Patient-Centered Medical Home
The Journal of nursing administration, Vol.54(6), pp.333-340
06/01/2024
DOI: 10.1097/NNA.0000000000001435
PMID: 38767524
Abstract
OBJECTIVE To examine the extent to which Veterans Health Administration (VHA) Patient-Aligned Care Team (PACT) members have a shared understanding/ agreement upon and enact responsibilities within the team. BACKGROUND The PACT model focuses on team-based care management. However, lack of a shared understanding of team-based care management roles and responsibilities makes system-wide implementation a challenge. METHODS Quantitative and qualitative analysis of national survey data collected in 2022 from primary care personnel working in a VHA-affiliated primary care facility. RESULTS Significant discrepancies exist in responses about what core team members say they do and what others perceive they should be doing, indicating either a lack of agreement, knowledge, or training about what core team members should do. CONCLUSIONS Successful implementation of a team-based model requires adequate support and training for teamwork including shared mental models to work according to their clinical competency. Clear guidance and communication of expectations are critical for role clarity.
Details
- Title: Subtitle
- Perceptions of Responsibilities by Primary Care Staff in a Patient-Centered Medical Home
- Creators
- Bonnie J Wakefield - University of MissouriAmany Farag - University of IowaMonica B Paez - Iowa City VA Health Care SystemGreg L Stewart - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of nursing administration, Vol.54(6), pp.333-340
- DOI
- 10.1097/NNA.0000000000001435
- PMID
- 38767524
- NLM abbreviation
- J Nurs Adm
- eISSN
- 1539-0721
- Language
- English
- Date published
- 06/01/2024
- Academic Unit
- Management and Entrepreneurship ; Nursing; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984628218802771
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