Implementation of Team Based Care and Its Effects on Patient Comfort and Trust in Primary Care
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Current demands placed on primary care offices to manage complex patients create a burdened outpatient system. Team-based care (TBC) has potential to reconfigure the primary care team to be better equipped at meeting these demands. However, little was known on the patient perspective surrounding TBC. When there is interference in patient comfort and trust, the patient provider relationship (PPR) suffers. Any break in the PPR has potential to lead to poor patient outcomes. The primary objective was to identify and measure the effects that the delivery model of TBC has on patient comfort and trust in the patient-provider relationship. The secondary objective was to compare the patient perspective of comfort and trust between TBC and standard, usual care. Under the framework of the Relational Coordination Theory, a quasi-experimental study of TBC implementation was compared to usual care. Data collection was conducted through a one-time survey/questionnaire approach. Tools utilized in this project were the Health Care Relationship (HCR) Trust Scale and Patient-Doctor Relationship Questionnaire (PDRQ-9). The data collection occurred over a period of 4 weeks. Data was analyzed through an Independent Sample T-Test approach after consideration for influences of demographics on survey results. Due to the unfortunate small sample size, the results for this project were statistically insignificant. Even though results did not reveal a significant difference between the groups, comfort and trust was preserved under TBC. The findings from this project provided supportive data for TBC in primary care with preservation of patient comfort and trust.