The impact of clinic design on teamwork development in primary care

Health Care Management Review
Robert J StroebelCraig Zimring

Abstract

Traditional clinic design supports a high-volume, hierarchical practice model. New design models are evolving to foster a high-functioning team delivery model. The goal of this study was to determine whether new design models, specifically colocation, improve care team development. A quasi-experimental design was used in this study to obtain validated teamwork development scores and patient satisfaction data to compare clinic design models. We took advantage of a difference in designs of primary care clinics among several clinics within the same care system in the Upper Midwest region of the United States. The participants were staff members of the primary care delivery teams in the studied clinics. The intervention was a redesign of staff space in the clinic. Our measures included a validated measure of team development and a commonly used patient satisfaction tool that were both in use at our institution at the time of the study. Teamwork scores were significantly higher in clinics where the primary work space of the entire team was colocated than in clinics where providers were in spaces separate from other team members. The differences in scores held across team roles, including providers, registered nurses, and licensed pr...Continue Reading

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Citations

Oct 17, 2019·Pharmacy : Journal of Pharmacy, Education and Practice·Linda AwdishuCandis M Morello
May 6, 2020·Journal of General Internal Medicine·Lisa LimCraig M Zimring
Aug 28, 2021·International Journal of Environmental Research and Public Health·Lisa LimMarc R Matthews

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