Coombs, Charles Richard Harvey;
Cohen, Tanya;
Duddy, Claire;
Mahtani, Kamal R;
Owen, Emily;
Roberts, Nia Wyn;
Saini, Aman;
... Park, Sophie; + view all
(2023)
Primary care micro-teams: an international systematic review of patient and healthcare professional perspectives.
British Journal of General Practice
, 73
(734)
e651-e658.
10.3399/BJGP.2022.0545.
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Abstract
Background: There has been a recent trend, both in the UK and internationally, towards creating larger primary care practices with the assumption that interdisciplinary teams can increase patient accessibility and provide more cost-effective, efficient services. Micro-teams have been proposed to mitigate some of the potential challenges with practice expansion, including continuity of care. / Aim: Review the available literature to examine how micro-teams are described and the opportunities which primary care micro-teams can provide for practice staff and patients and limitations to their introduction and implementation. / Design and setting: International Systematic review of studies published in English. / Method: A Framework analysis was used to synthesise the literature. Databases and grey literature were searched. Studies were included if they provided evidence regarding the implementation of micro-teams in primary care. We worked with a PPI co-author and conducted stakeholder discussions to those with and without experience in micro-team implementation. / Results: The majority of the 24 included studies discussed empirical data from healthcare professionals, describing the implementation of micro-teams. Results include the characteristics of the literature; how micro-teams have been described; the range of ways micro-teams have been implemented; reported outcomes and experiences of patients and staff. / Conclusion: The organisation of primary care has the potential to impact the nature and quality of patient care, safety and outcomes. This review contributes to current debates surrounding care delivery and how this can impact the experiences and outcomes of patients and staff. The analysis identifies several key opportunities and challenges for future research, policy and practice.
| Type: | Article |
|---|---|
| Title: | Primary care micro-teams: an international systematic review of patient and healthcare professional perspectives |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3399/BJGP.2022.0545 |
| Publisher version: | https://doi.org/10.3399/BJGP.2022.0545 |
| Language: | English |
| Additional information: | Copyright © 2023, The Authors This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/). |
| Keywords: | Family Practice, General Practice, Humans, Continuity, Multidisciplinary Team |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10168808 |
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