Factors and interventions determining the functioning of health care teams in county-level hospitals in less affluent areas of China

A qualitative study

Dados Bibliográficos

ID22080314
AutoresHujie Wang (0000-0003-1588-7874, Erasmus University Rotterdam, autor correspondente), Jeroen Van Wijngaarden (0000-0001-8432-6611, Erasmus University Rotterdam), Martina Buljac‐Samardžić (0000-0001-9608-180X, Erasmus University Rotterdam), Martina Buljac-Samardžić, Joris J Van De Klundert (0000-0003-4151-5089, Adolfo Ibáñez University), Joris van de Klundert
Ano2023
Volume11
Páginas1082070-1082070
Data de publicação2023-09-28
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1082070
PMID37841739
OpenAlexW4387140170
IdiomaEN
Citações recebidas1
Referências citadas42

Background: Teamwork is essential for the quality and safety of care, and research on teamwork in health care has developed rapidly in many countries. However, evidence from less affluent, non-Western countries is scarce, while improving teamwork may be especially relevant to be able to increase the quality of care in these settings. This study aims to understand the main factors that influence, and interventions used to improve, the functioning of health care teams in the context of county-level hospitals in less affluent areas of China. Methods: We conducted semistructured interviews to explore the factors that influence team functioning and the interventions implemented to improve team functioning in these hospitals. 15 hospital presidents and 15 team leaders were selected as respondents. Results: From the interviews, we have identified five main factors that influence team functioning in these hospitals: "stuck in the middle", local county setting, difficulty in attracting and retaining talent, strong focus on task design, and strong focus on leadership. The interventions for improving team functioning can mostly be categorized as the following: 1) measures to attract and retain talent (e.g., increase salary, train talent in national or provincial level hospitals, and provide fast-track promotions), 2) interventions focused on monodisciplinary teams (e.g., changing the team structure and leadership, and skill training), and 3) interventions to establish and improve multidisciplinary teams (e.g., simulation training and continuous team process improvements). Conclusion: With the introduction of multidisciplinary teams, interventions into team processes have started to receive more attention. The findings depict an overview of the main factors and interventions as specifically relevant for team functioning in county-level hospitals in less affluent areas of China and may help these hospitals benefit from additional process interventions to improve teamwork and the quality of care

China · Economic growth · Environmental health · Geography · Health care · Psychological intervention · Qualitative research · Sociology · Interprofessional Education and Collaboration · Medicine · Nursing · Patient Safety and Medication Errors · Simulation-Based Education in Healthcare · Gerontology