Panel management, team culture, and worklife experience

Families, Systems & Health : the Journal of Collaborative Family Healthcare
Rachel Willard-GraceKevin Grumbach

Abstract

Burnout and professional dissatisfaction are threats to the primary care workforce. We investigated the relationship between panel management capability, team culture, cynicism, and perceived "do-ability" of primary care among primary care providers (PCPs) and staff in primary care practices. We surveyed 326 PCPs and 142 staff members in 10 county-administered, 6 university-run, and 3 Veterans Affairs primary care clinics in a large urban area in 2013. Predictor variables included capability for performing panel management and perception of team culture. Outcome variables included 2 work experience measures--the Maslach Burnout Inventory cynicism scale and a 1-item measure of the "do-ability" of primary care this year compared with last year. Generalized Estimation Equation (GEE) models were used to account for clustering at the clinic level. Greater panel management capability and higher team culture were associated with lower cynicism among PCPs and staff and higher reported "do-ability" of primary care among PCPs. Panel management capability and team culture interacted to predict the 2 work experience outcomes. Among PCPs and staff reporting high team culture, there was little association between panel management capability ...Continue Reading

Citations

Sep 1, 2017·Journal of the American Association of Nurse Practitioners·Alexandra Hobson, Alexa Curtis
Mar 24, 2016·Evaluation & the Health Professions·William M SpinelliHeather R Britt
Nov 27, 2018·JAMA Internal Medicine·Thomas Bodenheimer
Feb 7, 2019·The Journal of Ambulatory Care Management·Elizabeth Rose HansenRobert L Phillips

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