Improving team coordination in primary-care settings via multifaceted team-based feedback: a non-randomised controlled trial study

Article Figures & Data

Download figure
Open in new tab
Download powerpoint
Figure 1. Team recruitment, enrolment, and intervention timeline
Download figure
Open in new tab
Download powerpoint
Figure 2. Screenshot of feedback report dashboard. ER = emergency room. PACT = Patient Aligned Care Team.

Table 3. Results of multilevel growth curve models for each coordination measure^a

	Individual coordination measures	Coordination composite^b
Appointments starting on time	Timely recall scheduling	ED utilisation	Electronic patient portal enrollment
	b (SE)	P	b (SE)	P	b (SE)	P	b (SE)	P	b (SE)	P
Main-effects model
Time	0.60 (0.30)	0.04	0.16 (0.71)	0.82	0.07 (0.08)	0.37	0.01 (0.05)	0.88	0.01 (0.003)	0.07
Study arm	-1.95 (1.29)	0.17	-1.71 (2.88)	0.57	-0.21 (0.16)	0.23	0.23 (0.08)	0.03	-0.02 (0.02)	0.33
Interaction model
Time	0.55 (0.48)	0.26	0.14 (1.18)	0.91	0.09 (0.12)	0.47	-0.04 (0.09)	0.60	0.003 (0.004)	0.49
Study arm	-1.97 (1.33)	0.18	-1.72 (3.30)	0.62	-0.18 (0.21)	0.43	0.14 (0.14)	0.34	-0.02 (0.02)	0.27
Time x study arm interaction	0.08 (0.66)	0.90	0.02 (1.59)	0.99	-0.04 (0.17)	0.83	0.09 (0.11)	0.41	0.004 (0.01)	0.52

^aAll models control for multiple team membership and respective baseline of the coordination measure.^bCombination of the four indicators (appointments starting on time, timely recall scheduling, ED utilisation, and electronic patient portal enrolment). ED = emergency department

Table 2. Team characteristics, overall and intervention group differences

	Intervention(n = 34)	Control(n = 34)	P value^a
Clinical focus, n (%)			0.81
Infectious disease	1 (2.94)	0 (0.00)
Primary care only	18 (52.94)	17 (50.00)
Women’s health	15 (44.12)	17 (50.00)
Team-level multiple team membership, mean (SD)	5.20 (1.24)	4.16 (0.58)	<0.0001
Baseline measures
Percentage of appointments starting on time	67.01 (24.50)	60.55 (25.49)	0.29
Percentage of timely recall scheduling	72.19 (17.80)	75.26 (25.70)	0.58
Percentage of ED utilisation	18.28 (8.61)	21.82 (11.32)	0.15
Percentage of electronic patient portal enrolment	22.43 (4.27)	29.05 (8.88)	<0.01
Coordination composite^b	0.41 (0.14)	0.40 (0.18)	0.91

^aIndependent samples t-tests for all except team focus, which was a Fisher’s exact test.^bCombination of the four indicators (appointments starting on time, timely recall scheduling, ED utilisation, and electronic patient portal enrolment). ED = emergency department

BJGPO.2020.0185.pdf -
Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.