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The relationship between team dynamics with healthcare coordination and clinical work satisfaction among Commune Health Workers: A Bayesian model averaging study
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Huy Van Nguyen, Thanh Hai Pham, Tien Van Nguyen. Kien Duy Vu, Minh Duc Pham, Dung Phung, Anh Ngoc Thi Tran, Phuong The Nguyen, Phuong Mai Le, An Minh Thi Dao, Hiep Tri Ngo, Minh Van Hoang
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Objective: To determine the relationship between team dynamics with healthcare coordination and clinical job satisfaction of the community health workers (CHWs). Methods: A cross-sectional study was conducted among 133 health workers (including doctors, nurses, or midwives) at 21 Commune Health Cent in Quoc Oai District, Vietnam, from July 2015 to May 2017. A self-administered questionnaire consisting of 5-Likert items regarding team dynamics and healthcare coordination clinical work satisfaction was utilised. Descriptive statistics and correlation matrix were applied for seven factors of team dynamic, clinical work satisfaction, and patient care coordination queried by primary care providers. Bayesian model averaging (BMA) was used to identify the predictors of the level of team dynamics and healthcare coordination. Results: The mean score of overall team dynamics among the study participants was 4.08. Clinical work satisfaction and patient care coordination scores among resident physicians were higher than those of attending clinicians;
however, the differences were not statistically significant.
The results of BMA analysis indicated that team dynamics
significantly associated with clinical work satisfaction, and it
explains 9% of the total variance in clinical work satisfaction.
Team dynamics level was also positively associated with
patient care coordination. Patient care coordination was not
a significant mediator between team dynamics and clinical
work satisfaction.
Conclusion: Team dynamics is a potential contributor to
improving patient care coordination and clinical job satisfaction of CHWs. As no significant correlation between patient
care coordination and clinical job satisfaction was observed,
to improve team performance, providing conditions that
facilitate team building and teamwork should be conducted
for CHWs in CHCs.
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International Journal of Health Planning and Management
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