title: Patients' and health professionals' perceptions of teamwork in primary care.
abstract: BACKGROUND
  Effective teamwork in primary care settings is integral to the ongoing health of those with chronic conditions. This study compares patient and health professional perceptions about teams, team membership, and team members' roles. This study aimed to test both the feasibility of undertaking a collaborative method of enquiry as a means of investigating patient perceptions about teamwork in the context of their current health care, and also to compare and contrast these views with those of their usual health professionals in New Zealand suburban general practice settings.
  
  
  METHODS
  Using a qualitative methodology, 10 in-depth interviews with eight informants at two practices were conducted and data analysed using inductive thematic analysis.
  
  
  RESULTS
  The methodology successfully elicited confidential interviews with both patients and the health professionals providing their care. Perceptions of the perceived value of team care and qualities facilitating good teamwork were largely concordant. Patient and health professionals differed in their knowledge and understanding about team roles and current chronic care programmes, and had differing perceptions about health care team leadership.
  
  
  CONCLUSIONS
  This study supports the consensus that team-based care is essential for those with chronic conditions, but suggests important differences between patient and health professional views as to who should be in a health care team and what their respective roles might be in primary care settings. These differences are worthy of further exploration, as a lack of common understanding has the potential to consistently undermine otherwise well-intentioned efforts to achieve best possible health for patients with chronic conditions.
authors.affiliation: Department Primary Health Care and General Practice, University of Otago, PO Box 7343, Wellington South, New Zealand. sue.pullon@otago.ac.nz
authors.forename: Susan
authors.initials: S
authors.lastname: Pullon
authors.forename: Eileen
authors.initials: E
authors.lastname: McKinlay
authors.forename: Maria
authors.initials: M
authors.lastname: Stubbe
authors.forename: Lindsay
authors.initials: L
authors.lastname: Todd
authors.forename: Christopher
authors.initials: C
authors.lastname: Badenhorst
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002908:Chronic Disease; D005240:Feasibility Studies; D005260:Female; D058006:General Practice / Q000458:organization & administration; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D024802:Nurse's Role; D009740:Nursing Staff / Q000523:psychology; D010348:Patient Care Team / Q000458:organization & administration*; D010819:Physician's Role; D019555:Physician-Nurse Relations; D011320:Primary Health Care / Q000458:organization & administration*; D036301:Qualitative Research; D019036:Suburban Health Services / Q000458:organization & administration