Introduction: Primary health care (PHC) plays a central role in health system reforms of countries across
the world, particularly developing countries. PHC teams are considered as one of the key principals for
developing these services. This study aimed to identify the facilitators and inhibitors of the effective
function of these teams.
Method: The current study was a review article, in which relevant articles were extracted from credible
databases and studied. Foreign and domestic databases were searched using suitable keywords about
effective facilitators and inhibitors of the health team function. The results were presented in descriptive
tables after careful investigation and specified classifications.
Results: Most important facilitators of the effective function of PHC teams were: clear goals, presence of
administrative and clinical systems, labor division, geographical proximity, training, effective
communication, conflict solution, integration, participation, job attraction and satisfaction, workplace,
career, empathy, professional size and mix, stability, organizational support, encouragement for
innovation, regular meetings, performance evaluation system and feedback, competition, leadership, and
mutual trust. Furthermore, the most important inhibitors of health teams’ effective function were:
inefficient leadership, poor communication, poor decision making, ambiguous goals, destructive conflict,
unclear roles, inharmonious team mix, inappropriate rewarding mechanisms, and insufficient knowledge
of team members.
Discussion and Conclusion: Planning workshops, public empowerment, and promoting intersectoral
collaboration with emphasis on facilitators and inhibitors of teams’ effective function are suggested in
order to improve team work in the health sector.
Yazdi Feyzabadi V, Ansari M, Amini Rarani M, Naghibzadeh Tahami A, Heydari A. Health Team in Primary Health Care: Facilitators and Inhibitors of the Effective Function. 3 2014; 2 (1) :74-66 URL: http://jms.kmu.ac.ir/article-1-64-en.html