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首页> 外文期刊>The American psychologist >The Complexity, Diversity, and Science of Primary Care Teams
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The Complexity, Diversity, and Science of Primary Care Teams

机译：初级保健团队的复杂性，多样性和科学

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This article examines the past, present and future of primary care and teamwork. It begins with a definition and description of primary care-its uniqueness, diversity and complexity, including the historical role of teams within primary care. The article then reviews the emergence of innovative primary care teams, including those grounded in new processes such as the Patient-Centered Medical Home and interprofessional teams that include new types of health professionals, particularly psychologists and other integrated behavioral health clinicians. The article describes key factors that support or hinder primary care teamwork, as well as evidence of the impact of these team-based models on patient outcomes, costs, and team members. It also discusses the role of primary care teams within multiteam systems (or 'teams of teams'), which are organized around the needs of patients and families, and the unique challenges these systems pose to coordinating care. The article concludes with recommendations for advancing teams in primary care, including changes in payment, descriptions of team competencies, models for primary care team training, and research necessary to inform the gaps in scientific knowledge.
机译：本文介绍了初级保健和团队合作的过去，现任和未来。它始于初级保健的定义和描述 - 其唯一性，多样性和复杂性，包括团队在初级保健中的历史作用。然后文章审查了创新初级保健团队的出现，包括那些在患者中心的医疗家庭和贸易专业人士，特别是心理学家和其他综合行为健康临床医生等新进程中的新进程。本文介绍了支持或妨碍初级保健团队合作的关键因素，以及这些基于团队的模型对患者结果，成本和团队成员的影响的证据。它还讨论了初级保健团队在多次系统（或“团队团队”中的作用），这些团队在患者和家庭的需求周围组织，而这些系统对协调护理的独特挑战。本文征询了推进初级保健团队的建议，包括支付的变更，团队能力的描述，初级保健团队培训的模型，以及为科学知识提供通知差距所需的研究。

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