From a Squad to a Team: Creating Team-Based Care

  • Alexander Blount


The transition to team-based care within primary care is a foundational step in building an environment that promotes relationships between patients and clinicians that are truly patient-centered. Changing from an individual provider with staff support to a team is the first step in the change in “mental models of care” called for by the evaluators of the National Demonstration Program. The change can be characterized as a change from a squad to a team. It is a transition from a small group that is hierarchical with an unchanging leader to a group with greater participation among team members and flexibility in leadership. This change gives greater flexibility in the delivery of the services that make a difference to patients. It has been shown to lead to improvement in group cohesion, improved patient satisfaction, improved quality of services, and lower burnout for both clinicians and support staff. Making such a change is not easy. One requirement is the dedication of time for team meetings, both daily and weekly, that is commensurate with the importance of the team’s successful functioning to the delivery of care. For these to be effective, the team needs consistency of membership.


Team-based care Patient-centered care Healthcare reform Primary care 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Alexander Blount
    • 1
  1. 1.Department of Clinical PsychologyAntioch University New EnglandKeeneUSA

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