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October 3, 2012

Challenges at the Intersection of Team-Based and Patient-Centered Health CareInsights From an IOM Working Group

Author Affiliations

Author Affiliations: Institute for Ethics, American Medical Association, Chicago, Illinois (Dr Wynia); Institute of Medicine, National Academies, Washington, DC (Dr Von Kohorn); and Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle (Dr Mitchell).

JAMA. 2012;308(13):1327-1328. doi:10.1001/jama.2012.12601

Team-based health care may help the United States achieve improved health and improved health care at a sustainable cost.1 It is central to many reforms of health care delivery, both actual and proposed. Team-based care can occur in many settings (eg, home, office, hospital); focus on different problems (eg, specific diseases); and include team members with a variety of backgrounds. Health care teams can be large or small, centralized or dispersed, virtual or face-to-face, and their tasks can be focused and brief or broad and lengthy. This extreme heterogeneity in tasks, foci, and settings presents a challenge to defining optimal team-based health care.

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