| Description |
1 online resource (1 PDF file (v, 54 pages)) : illustration. |
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text txt rdacontent |
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computer c rdamedia |
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online resource cr rdacarrier |
| Series |
Evidence synthesis program |
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Evidence-based synthesis program (Series)
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| Bibliography |
Includes bibliographical references. |
| Summary |
Team-based primary care has become a predominant model to provide accessible, high-quality care, and meet the quadruple aims of improving patient experience, population health, the work life of the health care workforce, and reduce costs. VA re-organized primary care delivery via the Patient Aligned Care Teams, which is based on the medical home model. Within the primary care team are smaller units, what Bodenheimer and Liang term "the central subunit" of the team, which has been called the teamlet. The smallest composition of the teamlet is the clinician and medical assistant. Bodenheimer and Liang proposed the teamlet consist of a clinician and 2 health coaches. Other compositions have been proposed. In VA, the teamlet has been defined as a primary care provider (either a physician, a physician's assistant, or a nurse practitioner), a registered nurse (RN), a licensed practical nurse (LPN), and a clerk or medical support assistant. Thus, the model aims to provide 3.0 full-time equivalent (FTE) staff for each PCP FTE, and each teamlet is expected to provide primary care for approximately 1200 Veterans. As VA continually seeks to improve the quality, cost, access, and wellbeing of the health care workforce, the question arises whether other compositions of the teamlet or the larger team might produce improvements in any of these domains. Thus, the Office of Primary Care requested this Rapid Review regarding team composition and outcomes. |
| Funding |
Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence Synthesis Program (ESP) Center, West Los Angeles VA Medical Center, Los Angeles, CA, Paul G. Shekelle, MD, PhD, Director |
| Note |
Description based on online resource; title from PDF title page (viewed November 1, 2021). |
| Subject |
Health care teams -- United States.
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Primary care (Medicine) -- United States.
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Medical care -- United States.
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Primary Health Care -- organization & administration |
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Patient Care Team -- organization & administration |
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Veterans Health Services -- organization & administration |
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Soins médicaux -- Travail en équipe -- États-Unis.
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Soins de santé primaires -- États-Unis.
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Health care teams. (OCoLC)fst00952868
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Medical care. (OCoLC)fst01013753
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Primary care (Medicine) (OCoLC)fst01076319
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United States. (OCoLC)fst01204155 https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq
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| Genre/Form |
Review |
| Added Author |
Begashaw, Meron, author.
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West Los Angeles VA Medical Center. Evidence-Based Synthesis Program Center. issuing body.
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United States. Department of Veterans Affairs. Health Services Research and Development Service. issuing body.
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| Standard No. |
NLM 101777894 |
| Gpo Item No. |
0985-A-12 (online) |
| Sudoc No. |
VA 1.107/3:T 22 |
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