Sarah C Fletcher1, Elka Humphrys2, Paule Bellwood3, Tiffany T Hill4, Ian R Cooper5, Rita K McCracken6, Morgan Price7. 1. Program Manager in the Innovation Support Unit (ISU) in the Department of Family Practice at the University of British Columbia (UBC) in Vancouver. sarah.fletcher@ubc.ca. 2. Research and Evaluation Lead in the ISU in the Department of Family Practice at UBC. 3. PhD candidate at UBC. 4. Story and Justice Lead in the ISU in the Department of Family Practice at UBC and a doctoral student-activist at the Ontario Institute for Studies in Education at the University of Toronto. 5. Research Analyst in the ISU in the Department of Family Practice at UBC. 6. Scientific Director of the ISU in the Department of Family Practice at UBC and a family physician practising in Vancouver. 7. Director of the ISU, Associate Head of the Department of Family Practice and Associate Professor at UBC, an affiliate faculty member in the Division of Medical Sciences, Computer Science, and Health Information Science at the University of Victoria, and a family physician practising in a community health centre in Victoria.
Abstract
OBJECTIVE: To introduce the new Team-based care Evaluation and Adoption Model (TEAM) Framework. QUALITY OF EVIDENCE: The initial TEAM Framework was derived from a series of reviews and consultations with academic and clinical experts. In a parallel process, team-based primary and community care evaluation in Canada was assessed through a structured review of academic literature, followed by a review of policy literature of existing primary care evaluation frameworks. MAIN MESSAGE: The review of academic articles alongside an analysis of policy documents and existing evaluation frameworks in primary care resulted in the development of the 10-dimension TEAM Framework. CONCLUSION: Primary care transformation requires evaluation over time. The TEAM Framework provides a comprehensive framework for assessing evidence needed to support short- and long-term actionable improvements for team-based primary and community care in Canada. This framework will inform the development of an evaluation tool kit for primary care teams.
OBJECTIVE: To introduce the new Team-based care Evaluation and Adoption Model (TEAM) Framework. QUALITY OF EVIDENCE: The initial TEAM Framework was derived from a series of reviews and consultations with academic and clinical experts. In a parallel process, team-based primary and community care evaluation in Canada was assessed through a structured review of academic literature, followed by a review of policy literature of existing primary care evaluation frameworks. MAIN MESSAGE: The review of academic articles alongside an analysis of policy documents and existing evaluation frameworks in primary care resulted in the development of the 10-dimension TEAM Framework. CONCLUSION: Primary care transformation requires evaluation over time. The TEAM Framework provides a comprehensive framework for assessing evidence needed to support short- and long-term actionable improvements for team-based primary and community care in Canada. This framework will inform the development of an evaluation tool kit for primary care teams.
Authors: Paul A Nutting; Benjamin F Crabtree; William L Miller; Kurt C Stange; Elizabeth Stewart; Carlos Jaén Journal: Health Aff (Millwood) Date: 2011-03 Impact factor: 6.301