Table 2.

Integrated Team Effectiveness Model applied to integrated care for people with COPD.

Domain Integrated Team Effectiveness Model	Focus groups
Organisational context
Goals/standard	The collaborative practice aims to improve patients’ quality of life
Structure/characteristics	Clarity about structure and agreements of collaborative practice No competition among team members
Rewards/supervision	Team members are accessible for consultation
Training Environment	There are adequate training opportunities
Resources	The availability of time and work places
Information System	The information system is functioning and add relevant data
Task design
Interdependence	Team members are interdependent to deliver quality of care
Autonomy	The input of every team member is valued
Clarity of rules and procedures	In general, the team will follow the care protocols.
Team process
Communication	Relevant patient data are exchanged Team meetings are effective
Coordination	Communication contributes to continuity of care
Decision-making	A decision to be off track will be discussed within the team
Participation	Team members give priority to team meetings
Conflict	Open communication is valued
Team psychosocial traits
Cohesion	Personal involvement in a COPD team
Norms	Mutual respect and trust between team members
Team effectiveness
Objective outcomes
Patient	Several indicators (e.g. exacerbation and quality of life) which are not only a determinant of teamwork
	Patient drop-out
Subjective outcomes	Patients know their primary contact person
Perceived team effectiveness	Satisfaction about the joint contribution to patients’ quality of life The care is patient-centred, not only disease specific The team has an overview about their patients