The teamlet model of primary care
Open accessAbstract
The 15-minute visit does not allow the physician sufficient time to provide the variety of services expected of primary care. A teamlet (little team) model of care is proposed to extend the 15-minute physician visit. The teamlet consists of 1 clinician and 2 health coaches. A clinical encounter includes 4 parts: a previsit by the coach, a visit by the clinician together with the coach, a postvisit by the coach, and between-visit care by the coach. Medical assistants or other practice personnel would require retraining to assume the health coach role. Some organizations have instituted aspects of the teamlet model. Primary care practices interested in trying out the teamlet concept need to train 2 health coaches for each full-time equivalent clinician to ensure smooth patient flow.
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Clinical care management includes clinical assessment, medication management, self-management support, and care coordination, including among post-surgical cancer patients.
“Clinical care management, generally provided by a health care professional such as a nurse or clinical pharmacist, includes clinical assessment, medication management, self-management support, and care coordination28,39-44, including among post-surgical cancer patients14,15,45.”
From Self-management: Enabling and empowering patients living with cancer as a chronic illness (2011) · cites this paper as [40]
Chronically ill patients at higher risk of emergency room use, hospitalization, or major complications benefit from more intensive follow-up and clinical management by a care manager.
“Chronically ill patients at higher risk of emergency room use, hospitalization, or major complications have been shown to benefit from more intensive follow-up and clinical management by a care manager.”
From Self-management: Enabling and empowering patients living with cancer as a chronic illness (2011) · cites this paper as [40]
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References 20 · Cited by 244
- Authors
- Bodenheimer, T., & Laing, B. Y.
- Affiliations
- San Francisco General Hospital (US)
- Corresponding author
- Bodenheimer, T.
- Venue
- The Annals of Family Medicine
- Publisher
- Annals of Family Medicine
- Published
- 2007-09-01
- Volume
- 5
- Issue
- 5
- Pages
- 457-461
- ISSN
- 1544-1709 (ISSN-L)
- 1544-1717
- PMC
- PMC2000308
- OpenAlex
- W2156835407
- Cited by
- 244
- References
- 20
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 11 · 2023: 10 · 2022: 11 · 2021: 6 · 2020: 10 · 2019: 10 · 2018: 17 · 2017: 9 · 2016: 14 · 2015: 15 · 2014: 23 · 2013: 15 · 2012: 17
- FWCI
- 31.47
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- The Annals of Family Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Keywords
- primary care, health coaches, medical assistants, patient flow, team-based care
- MeSH terms
- Humans, Office Management, Office Visits, Patient Care Team, Patient Education as Topic, Primary Health Care, Staff Development, Allied Health Occupations, Patient Satisfaction, Models, Organizational
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