Team climate and patients’ perception of primary healthcare attributes in Brazil: a cross-sectional study

Marina Peduzzi*, Heloise Lima Fernandes Agreli, Jaqueline Alcantara Marcelino da Silva, Mitti Ayako Hara Koyama, Lislaine Aparecida Fracolli, Andreas Xyrichis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Team climate and attributes of primary healthcare (PHC) are key elements for collaborative practice. Few researchers have explored the relationship between team climate and patients’ perceptions of PHC. This study aimed to assess the association between team climate and patients’ perceptions of primary healthcare attributes. A quantitative approach was adopted. In Stage 1, Team climate was assessed using Team Climate Inventory in 118 Family Health Strategy (FHS) teams at a PHC setting. In Stage 2, Patients’ perceptions of PHC attributes were assessed using the Primary Care Assessment Tool (PCATool) in a sample of 844 patients enrolled in teams studied in Stage 1. Cluster analysis was used to identify team climate groups. The analysis used multilevel linear regression models. Patients assigned to teams with the highest team climate scores had the highest PHC attributes scores. Patients who reported affiliation at the team level had the highest PCATool scores overall. They also scored higher on the attributes of comprehensiveness and coordinated care compared to patients with affiliation to the health unit. In conclusion, patients under the care of FHS teams exhibiting a more favorable team climate had more positive patient perceptions of PHC attributes.

Original languageEnglish
Pages (from-to)705-712
Number of pages8
JournalJournal of Interprofessional Care
Volume38
Issue number4
DOIs
Publication statusPublished - 2024

Keywords

  • Health personnel management
  • interprofessional relations
  • patient care team
  • primary healthcare
  • team climate

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