Organizing patient care and improving team coordination have been identified by the Institute of Medicine and the Agency for Healthcare Research and Quality as essential components of high-quality care. Research is lacking, however, on the measurement of care team coordination and its mechanisms. Using an organizational psychology framework developed by Okhuysen and Bechky (O&B) as a guide, the authors identify strengths and gaps in the existing literature related to the measurement of coordination and its associated constructs. The authors conducted a review of peer-reviewed articles in healthcare, management, and psychology journals that contain survey items that could be used to measure the domains in the O&B framework. An initial search yielded 468 articles published from 1978 to 2014, 37 of which came from healthcare journals. From this set, 1,401 candidate survey items were extracted from 74 articles. Of these, 279 items were categorized into at least one O&B domain. Retained items were drawn from scales representing 51 constructs related to teamwork, roles, trust, coordination broadly, and ancillary constructs. Two constructs, physical proximity and plans and rules, were directly represented both in the O&B framework and as standalone constructs in the literature. The remaining constructs contributed items that indirectly assess components of the O&B framework domains. Despite decades of research on coordination, valid survey items for measuring the mechanisms and integrating conditions described by the O&B framework as leading to successful team coordination are scarce, and virtually nonexistent in healthcare, as measures of care team coordination.
assistant professor, Saint Louis University, St. Louis, Missouri
professor, University of Houston, Houston, Texas
research health scientist, Center for Innovations in Quality, Effectiveness and Safety (IQuEST), Michael E. DeBakey Veterans Affairs Medical Center, Houston, and assistant professor, Alkek Department of Medicine, Baylor College of Medicine (BCM), Houston
research coordinator, BCM, Houston
research coordinator, IQuESt, Houston
investigator, IQuESt, and associate professor and vice chair, BCM, Houston
investigator, IQuESt, and associate professor, BCM, Houston
research associate, MBR Management Corporation, Springfield, Illinois
lead research health scientist, IQuESt, and associate professor, BCM, Houston
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