Working together? Teamwork in treating diabetes and hypertension in Israeli managed care organizations

Revital Gross, Hava Tabenkin, Avi Porath, Anthony Heymann, Boaz Porter

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Purpose - This article aims to analyze existing and preferred labor divisions between physicians and nurses treating patients with hypertension and diabetes in managed care organizations. Design/methodology/approach - A mail survey was conducted in 2002/2003 among a representative sample of 743 physicians employed by Israel's largest managed care health plans (78 percent response rate). A telephone survey among a representative sample of 1,369 hypertensive or diabetic patients (77 percent response rate) was also used. Findings - Findings reveal a conspicuous gap between actual labor division and what physicians perceive to be ideal. Possible reasons for this gap are discussed and strategies for facilitating collaboration, which would improve service quality as well as work life quality for both physicians and nurses. Originality/value - This study provides empirical data on the extent of nurse involvement in managed care organization chronic patient care, as well as comparing them to physicians' preferences regarding nurse involvement.

Original languageEnglish
Pages (from-to)353-365
Number of pages13
JournalInternational Journal of Health Care Quality Assurance
Issue number4
StatePublished - 12 Jun 2009
Externally publishedYes


  • Blood pressure
  • Diabetes
  • Israel
  • Medical sciences
  • Primary care
  • Team working


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