Teamwork Research Articles

Early Outcomes Of Living Donor Liver Transplant Recipients In A University Teaching Hospital Of Nepal

Introduction: The burden of chronic liver disease (CLD) is on the rise and liver transplantation remains the best treatment modality for the end stage liver disease (ESLD). Tribhuvan University Teaching Hospital has started doing living donor liver transplantation (LDLT) and we aim to report our experience and early postoperative outcomes of the first 10 living donor liver transplants performed in our institute. Methods: This is a retrospective review and included all patients who were operated for LDLT from the year 2019 to 2023 for various indications. Demographic data, Model for End-Stage Liver Disease score, Child score, etiology of CLD, liver graft type, graft-to-recipient weight ratio, operative time, blood transfusion and complications were analysed. Results: From 2019 to 2023, in total, 10 patients underwent LDLT, including one paediatric transplant. The most common etiology was alcohol (50%) and right lobe was the preferred graft. The average operative time was 7.9 ± 2.56 hours. There were no re exploration or re transplantation. The mean duration of hospital stay was around 21.37 ± 6.43 days. All patients were followed for one to five years. Four recipients had Clavien Dindo Grade II and above complications, including bile leak and post-operative bleeding. One mortality occurred on 27th post-operative day due to covid infection. Conclusions: Living donor liver transplantation is a feasible option for patients with end stage liver disease and is safe to be performed in low volume centre with the help of expertise and good team work.

The development of critical thinking, team working, and communication skills in a business school–A project-based learning approach

This study presents a Project-Based Learning (PBL) approach – the Multidisciplinary Project I course (MPI) - conceived to improve critical thinking skills of first-year business students while also mobilizing teamwork and communication skills. The main goals are to 1) describe the methodological PBL approach of MPI and 2) analyze changes in critical thinking, team working, and communication skills during the semester (pre- and post-test) by comparing management and economics students enrolled in MP1 (n= 946) to a control group (n= 210) including students from other courses. Our findings show that, at the end of the semester, MPI students reported a greater reduction in their critical thinking difficulties and communication apprehension and improvements in teamwork skills. This study provides evidence supporting the inclusion of PBL approaches to promote skills in business students that can be transferable to real-world settings.

Enhancing Teacher Organizational Citizenship Behavior in Junior High School of Depok City

Teachers play a crucial role as agents of learning who can enhance the quality of education. Here are several issues regarding teachers’ Organizational Citizenship Behavior that have not yet met expectations, making it a suitable subject for research to explore the efforts needed to enhance Organizational Citizenship Behavior among teachers at State Junior High Schools in Depok City. The aim this research is to identify the factors that can enhance teachers’ OCB in public junior high schools in Depok City. The method of this research is used in this study is descriptive qualitative. In the data collection process, we employed methods such as interviews, observations, focus group discussions, and documentation. Interviews were conducted with 22 teachers from 3 public junior high schools in Depok City. We carried out observations accompanied by notes as part of the documentation and observation studies to identify factors that can enhance teachers’ OCB behavior. The object of this research is teachers’ OCB behavior, while the subjects of the study are teachers from public junior high schools in Depok City. How To enhance teachers’ OCB (Organizational Citizenship Behavior)? The result is for improvement of OCB behavior among teachers at SMP Negeri Kota Depok can be influenced by two variables: team work and spiritual belief. The novelty of this research was found two variables to enhance the OCB. There are team work and spiritual. Contribution my research for the study is find new method to enhance OCB because the variable found in the field.

Teamworking in Dentistry: The Importance for Dentists, Dental Hygienists and Dental Therapists to Work Effectively Together-A Narrative Review.

To consider teamworking in dentistry, focusing especially on the role of dental hygienists (DHs) and dental therapists (DTs) as part of the dental team. A narrative review of studies that have investigated teamworking in periodontology and dentistry in general together with consideration of examples of relevant regulatory and governmental policy documents. The inclusion of DHs and DTs as key members of the dental team yields significant patient benefits in terms of access to care (particularly among under-served populations), efficient and effective treatment and improved healthcare outcomes for patients. However, barriers can exist to full implementation of effective working in dental teams, including both systemic and regulatory barriers, as well as attitudinal barriers. Furthermore, DHs and DTs are not always working to their full scope of practice, thereby limiting the care that these team members can provide. Mutual respect between dental team members, high-quality communication and a common ethos and shared clinical standards are all essential for effective teamworking. DHs and DTs have a clear role to play in achieving sustainable improvements in oral and dental health for patient populations globally. Full and effective integration of DHs and DTs into healthcare teams will benefit not only the dental team, but also healthcare systems and patient populations, via more effective teamworking, improved access to care and enhanced treatment outcomes.

The impact of COVID-19 on the willingness to work in teams

This paper studies the impact of the COVID-19 pandemic on individuals’ willingness to work in teams, using an online experiment. We implement a setup where individuals can choose to work on a real effort task either individually or together with a partner through online interaction. We find that although working in a team is more profitable and participants also expect this, a large fraction makes a financially costly decision by shying away from teamwork. Moreover, participants primed with COVID-19 are less likely to self-select into teamwork in a dynamic setting with two team selection periods, with the effect coming mainly from the second selection period, after a random fraction of participants are exogenously assigned to teamwork. We find that in addition to COVID-19 salience, social confidence, the willingness to socialize, and prior exposure to teamwork are significant predictors of the decision to join or avoid socially interactive work environments. Our findings provide insights into the potential impact of the pandemic on social interactions in a work setting.

Diseño y análisis de las propiedades psicométricas del instrumento de competencias de trabajo interprofesional para su uso en la población mexicana (CIP-Mx)

IntroductionInterprofessional education includes diverse strategies in order to promote competencies such as communication, ethics, critic reflection and quality processes. It is characterized by simultaneously including diverse discipline participants in the educative process. The assessment of these competencies is essential. AimTo design an assessment instrument for interprofessional health workers competencies and to measure its psychometric properties. MethodAn assessment instrument was designed, it included four competencies (communication, learning and critical reflection, quality and health processes, and ethics and values); in three dimensions (leadership and team work, roles and responsibilities, patient centered care). For content validity assessment, an expert judgement was made. Due to the fact that this instrument can be used as seven separate instruments, or, as well, as the combination of several of them due to intersection of the items between dimensions and competencies; seven exploratory factorial analysis were performed, four by competencies, and three by dimensions. The exploratory factorial analysis used varimax rotation, Bartlett test and KMO.For reliability assessment Cronbach´s Alpha was performed for each dimension, for each competency and two general ones (one for dimension assessment and another one for competencies). ResultsPsychometric properties of the instrument are described. It shows adequate properties to be used in Mexican population. ConclusionsThe instrument is suitable for measuring interprofessional work competencies from different dimensions.

Visual Outcomes of Children With Craniosynostosis.

Craniosynostosis can impact the visual development of a child. Historically, children with craniosynostosis, particularly when associated with a syndrome, had a significant risk of vision loss. The authors aimed to study the incidence of ophthalmic pathology in a modern, multidisciplinary craniosynostosis practice. Children aged 7 to 13 years attending face-to-face ophthalmic craniofacial clinics between February 2020 and June 2021 were included in a retrospective case note review. Visual acuity, ocular alignment, optic nerve function, and retinal nerve fiber layer (RNFL) condition using optical coherence tomography (OCT) were recorded. Forty-three children (30 girls) were assessed at a median age of 10.3 years (7.8-13.1). Eleven children had unicoronal synostosis, 15 had single-suture synostosis not involving the coronal, 14 had multisuture synostosis involving the coronal, and 3 had multisuture synostosis not involving the coronal. Thirty-two out of 43 had craniofacial surgery. Sixty-seven percent required glasses. Forty-nine percent had strabismus, 11/43 (26%) had squint surgery, and 2/43 (5%) had tarsorrhaphy for corneal protection. Four out of 43 (9%) had papilloedema detected; however, at the final review, 15/68 (22%) eyes showed RNFL changes on OCT imaging, none of whom had optic atrophy. Two children did not meet UK driving standards due to refractive amblyopia; no children were registered as sight impaired. In this cohort, optic atrophy and visual loss due to exposure keratopathy were not seen. A high incidence of strabismus, glasses wear, and amblyopia is persistent. Binocular visual impairment was rare in this cohort: 95% met UK driving standards. Visual outcomes appear to be improving coinciding with improved craniofacial care alongside multidisciplinary team working.

Enhancing healthcare operations: a systematic literature review onapproaches for hospital facility layout planning.

The appropriate physical layout of hospital services can help resolve management problems by streamlining the work of medical teams, improving the flow of patients between specific areas and the medical support environment. Nevertheless, the academic literature lacks structured research into how the physical layout of hospitals might be improved. Our study aims to fill this research gap, providing information for researchers and professionals who intend to guide the hospital facility layout planning (HFLP) from the steps and prescribed approaches found in the literature. This study analyzes the current literature status and concerning approaches that support HFLP and identifies their strengths and weaknesses. The literature was classified using the following criteria: approaches for layout generation, approaches for layout evaluation and healthcare facility layout outcomes. The hospital facility layout outcomes achieved for each phase served as a basis for identifying a list of strengths and weaknesses for the hospital layout facility generation and evaluation approaches. Readers can refer to this paper to identify the approach that best fits the desired goal and the HFLP step. This is a contribution to current studies into HFLP, and it provides guidelines for selecting the approach to be utilized based on the desired outcome. The paper describes how to conduct an HFLP and lists the strengths and weaknesses of each approach. The research may be used as a strategy for determining which tool is most suited based on the practitioner's target purpose.

Which diversity factors influence the attribution of competences and co-operation in nursing teams?

Abstract Background Diversity within nursing teams increases due to staff shortages in Germany, nurse migration and the current academization of the profession. Quality of patient care is associated with intraprofessional teamwork. Little is known about how nurse’s own diversity factors and those of team members impact nurse’s perception and behavior in team situations. Methods A quasi-experimental, cross-sectional study with a factorial online survey with fictional case studies (vignettes) was conducted in two German hospital operators in 2023. Nurses of legal age working in hospitals or nursing homes were eligible to participate. Associations of diversity factors, i.e., gender, age, migration background, and qualification, on the participant and vignette level on perceived competences and willingness to cooperate were preliminary analyzed via multi-level fixed effects models in SPSS. Results N = 684 nurses participated (76% female; mean age: 44.2 years; 88% born in Germany; 75% completed vocational training). Competency of team members in patient’s personal hygiene was rated higher by respondents born in Germany (.36), when fictional colleagues were of middle age (.06) compared to higher age and were from Germany (.22) or France (.08) compared to China. Competency in inserting infusions was rated higher by respondents born in Germany (.56), when fictional colleagues were from Germany (.29) or France (.20) compared to China and when one worked together for months compared to days (-.39). Willingness to swap shifts was affected by the fictional length of collaboration (-.08). All significance levels were p<.02. Conclusions How nurses perceive their colleagues’ competences is mainly influenced by their own and the other’s migration background, while willingness to cooperate is only affected by length of collaboration. Improving the onboarding process of new nurses in teams, and providing the time and space for professional exchange might improve mutual trust and teamwork. Key messages • Diversity in German nursing teams increases due to nurse migration and plurality of qualifications. • Facilitating professional exchange about individual competences might improve team work in nurses.

What works in global health partnerships? Reflections on a Nigerian-German project collaboration

Abstract Background Global health partnerships for project implementation is a frequent way to address health challenges. Bringing stakeholders from different disciplines, professions, settings and countries together provides opportunity to look at health challenges from different perspectives, develop suitable ideas to tackle them and leverage diverse capacities. Problem In such diverse partnerships, cultural norms, practical realities and institutional practices create challenges for the development of good and equitable relationships. Methods In our project collaboration between the Nigerian Centre for Disease Control and Prevention and the German Robert Koch Institute on developing and implementing trainings in infection prevention and control, we demonstrated how a partnership can function. The collaboration followed a participatory approach and was informed by the following principles: - Plan, revise, adapt and implement all project activities as well as its contents participatorily; - A well-coordinated teamwork is key to facilitate operational performance; - Consider everyone as expert in its own domain of influence; - Constant and inclusive communication: maintaining transparency on all aspects and steps both in contents and organization and applying non-violent communication and active listening; - Provide space for reflection on roles and functions and for open discussion on needs and misunderstandings; - Appreciate team work as constantly evolving process of interaction and learning. Results We built a strong resilient team and could leverage team diversity to deliver on project objectives with exceptional quality, adaptability in a highly complex and frequently changing implementation setting. Lessons Working across cultures, disciplines, professions and countries means to develop a joint communication language and an understanding of the other. It is challenging and dynamic, requires additional space/time and attention, but offers personal growth and self-realization. Key messages • Using a participatory approach in teams can leverage team diversity to deliver on project objectives and bring about a high professional and personal self-realization. • There are concrete implementable ways of teamwork in international interdisciplinary global health collaborations that enhance quality of results in complex implementation settings.

10.M. Scientific session: JA ImpleMENTAL Abstract Workshop

Abstract JA ImpleMENTAL is major initiative across Europe and was initiated on the request of Member States, on October 2021 under the European Union 3rd Health Programme. The workshop is organized by JA ImpleMENTAL in partnership with EUPHA Mental Health Section, a member of the JA ImpleMENTAL Stakeholder Forum. It will include four presentations that will contribute to an interesting discussion about the future of community mental health services that are user-centered, recovery-oriented and human rights based as well as about the synergies with national strategies and the EU Initiatives. Vasileia Konte the JA ImpleMENTAL Coordinator will provide an overview of the Mental Health System Reforms based on the Belgian Best Practice model, which is implemented in 11 countries. It will elaborate on key activities and prioritized key areas of mental health system transformation as well as enablers, barriers and key lessons learned from the implementation process. Danijela Štimac Grbić from Croatia will present the Croatian experience in the implementation of a mobile rehabilitation team for providing psychosocial interventions in the community in which peer workers are employed for the first time. Based on the successful work of the mobile team, Croatia has included 30 new mobile teams in its network of public health services that will operate throughout Croatia. Teresa Nicolas Lopez from Murcia Spain will present the project “Inclusive Life Projects” which offers comprehensive community care to adults with severe mental illness within projects of autonomous living and provides a concrete and real response to their needs, with the ultimate objective of avoiding the risk of institutionalization. Anna Paradesioti from Cyprus will focus on how to achieve a smooth transition from inpatient to community mental health services promoting collaboration among those services and professionals, by adopting an intersectoral approach. Jutta Lindert will provide valuable comments by bringing helpful insights and views of the Stakeholder Forum. Key messages • Transformation towards community based care increase availability and efficiency of services. • User’s centered human rights based recovery approach care with engaging stakeholders including people with lived experience.

THE STRUCTURE AND CONTENT OF THE COURSE "INNOVATIONS IN SOCIAL WORK" (FROM THE TEACHING EXPERIENCE)

The topic relevance is determined by the requirements for the training of social work specialists for innovative activities in conditions of modern challenges. The article aims to characterize the structure and content of the course "Innovations in Social Work" for the 2nd (master's) level of higher education, specialty 231 "Social Work" (from teaching experience). Scientific methods applied: generalization, abstraction, explanation, systematization, system-structural, and descriptive analysis. The author notes the importance of a systematic approach to the development of the general concept of the training course. It is justified by taking into account not only theoretical and practical aspects of innovative activity, but also regulatory and legal ones. The structure of content modules tested in the teaching process is proposed: 1) theory of innovative activity; 2) regulatory and legal support of innovations; 3) innovation as a factor in overcoming social problems of our time. A brief overview of the lectures and recommendations for seminars are provided. Considering the absence of thematic sections on innovations in the field of social protection of the population in cross-sectoral normative documents, special attention is paid to the Plan for the implementation of the Ukraine Facility 2024-2027. The reforms for the next 4 years are presented in this document. It is emphasized that some of them are considered in the module No.3 ("Social work in multidisciplinary rehabilitation teams", "Implementation of the veteran's assistant institute", "Evolution of the deinstitutionalization reform in Ukraine") with logical transition to module No.3. The proposed structure and content of the course "Innovations in Social Work" can contribute to the formation of program learning outcomes defined by the educational standard., Special emphasis is placed on the challenges of teaching innovative activities: taking into account the requirements of the standard of higher education and the professional standard, the interdisciplinary nature of knowledge, the incompleteness of legal support for innovative activities in the field of social work. Both the theoretical and legal and educational issues of teaching the course "Innovations in social work" are among the directions of further scientific research.

Promoting student success and retention through care teams and case management at small institutions

AbstractCare teams, an important structure at most institutions of higher education, coordinate the work of various units to intervene with students who are at risk of attrition, academic failure, and/or are experiencing socio‐emotional struggles. The authors provide various examples of how case management and Care Teamwork is structured in the small institution setting. Using their institutions as case studies, the authors provide examples of various collaborative structures that coordinate case management and support at‐risk students; and situate this work in the small institution setting, with particular attention to the expectations that these institutions and students’ families have for high touch student success efforts; and discuss ways in which technology supports and contributes to case management and Care Team work.

Development and validation of a self-esteem improvement program for family caregivers with dementia ‐ Utilizing ICT

The sense of caregiving burden can be significant among family caring for people with dementia and can impact mental health. Research to find ways to alleviate this burden is extremely important. Dr Yoshihiro Saito, Faculty of Nursing, Reiwa Health Sciences University, Japan, is leading a team working to develop and validate a self-esteem improvement programme designed for family caregivers of those with dementia. The project was inspired by Saito experiencing firsthand the stresses placed on family carers of people with dementia. The goal of the programme is to reduce the self-blame of dementia family caregivers and is informed by Saito’s expertise in cognitive behavioural therapy. A key part of the programme is self-compassion in order to help caregivers realise their worth. Ultimately, the aim is that, through the programme, caregivers can be kinder to themselves and realise the value and significance of their efforts. Alongside heading up this project, Saito is a supervisor for the Cognitive Behavioural Therapy Training Programme of the Ministry of Health, Labour and Welfare in Japan, focusing on popularising cognitive behavioural therapy and training the next generation. In this role, he listens to and reviews recordings of cognitive behavioural therapy sessions, providing practical advice. In the context of Japan’s ageing population, there will be an increase in people with dementia and family caregivers. Therefore, Saitoâ–™s work will be hugely beneficial in assisting those with dementia, caregivers and society.

Successful ability to stay at home - an interview study exploring multiple diagnosed older persons and their relatives’ experiences

BackgroundSociety places increased demands on regions and municipalities to jointly carry out activities for multi-diagnosed older persons with extensive coordination needs. Interprofessional collaboration is reported as an important success factor for the overall health care of this group of patients. This project focuses on older persons with multiple diagnoses and their relatives’ own experiences of what is most important for safety and security in their homes. The aim of the study was: to illuminate the meaning of success for the ability to stay at home as experienced by older persons with multiple diagnoses and their relatives.MethodsThe project had a descriptive explorative design with a phenomenological hermeneutic approach based on analysis of 14 in-depth interviews with older people and their relatives.FindingsOwn resources were identified such as belief in the future, spiritual belief, social network, having loved ones and pets. Technical aids were seen as helpful resources, working as indoor and outdoor security safeguards. These resources included having good telephone contact with social and professional networks as well as other forms of personal equipment such as a personal alarm. The professional network was a resource, acting as support when the patient’s own abilities were not sufficient. Finally, having personnel who had the time and interest to listen was seen as crucial to experience safety.ConclusionsThe main reason for being able to continue homecare was the person’s self-care system, their personal, social, and technical resources. Professional care development should anchor team work to the patient’s own system of self and informal care.

74 Reducing unplanned extubations in a level 3 neonatal intensive care unit - the nuts and bolts of UE bundle implementation

Abstract Background Unplanned extubations (UEs) are preventable adverse events that may lead to short term consequences (e.g. cardiopulmonary collapse) and long term sequelae (e.g. acquired airway injury, brain injury) for patients admitted to the Neonatal Intensive Care Unit (NICU). UE prevention care bundles have been demonstrated to reduce UE rates in NICUs; however, implementation of bundle elements is unit dependent. Objectives To describe the work of a UE Prevention Team in a Level 3 NICU with rising UE rates despite implementation of UE prevention bundle per Children’s Hospital Solutions for Patient Safety (SPS). Design/Methods A neonatologist / respiratory therapist pair was assembled in March 2022 to tackle rising UE rates in a 69 bed NICU. Contributing unit stressors included implementation of a new electronic health record, COVID-19 policies, and nursing shortages. Baseline UE rates were >3x the centerline for SPS network NICUs and likely underreported. Steps undertaken include: 1) daily audit to ensure reporting of all UEs, 2) structured post-event team debriefs, 3) unit education campaign to raise awareness of UE prevention and bundle elements, 4) prominent posting of last UE date and reporting on daily team huddle, 5) rapid UE case reviews and apparent cause analysis with reporting of findings unit-wide, 6) optimize endotracheal tube (ETT) securement methods, 6) enforce T2-T3 ETT tip position, 7) standardize x-ray frequencies and reporting, 8) trial of daily rounds ETT safety checklist. Results From rapid case reviews, apparent causes were determined to be incorrect ETT securement device sizing, taping method prone to loss of tape integrity in high humidity, high ETT positions, and inadequate ETT monitoring during high risk activities other than repositioning (invasive/painful procedures, diaper changes). Post-event structured debriefs and unit-wide vigilance increased reporting of UE events to 100%. UE rates fell from a peak of >4 UEs/month, >2.4/100 ventilation days to 1 UE/month, 0.465/100 ventilation days, a 80% reduction.(Figure 1) Most impactful interventions were standard x-ray reporting template in the electronic health record, reinforcing T2-T3 ETT tip positioning, correcting ETT holder sizing, and change in ETT method (Figure 2). Daily rounds checklist was not effective. UE reductions were achieved without changing patient ratios as nurse staffing shortages continued. Conclusion A nimble systems approach is needed to ensure success in implementation of UE prevention care bundles. Simple changes can be made to decrease UEs, guided by rapid case reviews.

ANALISIS INOVASI, TEAM WORK DAN PENGARUHNYA TERHADAP KINERJA ORGANISASIONAL MELALUI PEMBELAJARAN ORGANISASIONAL PADA BATALION TANKFIB 1 MARINIR

This research aims to analyze the influence of innovation and team work on organizational performance through organizational learning in the 1st Marine Tankfib Battalion. The population in this study were all 220 soldiers working in the 1st Marine Tankfib Battalion. This type of research is explanatory with a quantitative approach. The sampling technique used in this research was determined by 25 independent variables, so the total sample in this research was 75 respondents. The data analysis technique for this research uses SEM-PLS. The research results show that innovation has a significant effect on organizational performance, teamwork has a significant effect on organizational performance, organizational learning is proven to have an effect on organizational performance. The influence test did not show that innovation had a positive effect on organizational performance through organizational learning and teamwork had a positive effect on organizational performance through organizational learning.

The group mind of hybrid teams with humans and intelligent agents in knowledge-intense work

Studies regularly demonstrate how well intelligent agents (IAs) can support humans or are demonstrably superior to them in some areas. Given that some tasks likely remain unsuitable for even the most intelligent machines in the mid-future, work in hybrid teams of humans and IAs—where the capabilities of both are effectively combined—will most likely shape the way we work in the coming decades. In an abductive study, we investigate an early example of hybrid teams, consisting of a conversational intelligent agent (IA) and humans, that aims to improve health behavior or change personality traits. We theorize Transactive Intelligent Memory System (TIMS) as a new vision of collaboration between humans and IAs in hybrid teams, based on our empirical insights and our literature review on transactive memory systems theory. Our empirical evidence shows that IAs can develop a form of individual and external memory, and hybrid teams of humans and IAs can realize joint systems of transactive memory—a competence that current literature only ascribes to humans. We further find that whether individuals view IAs merely as external memory aids or as part of their teams’ transactive memory is moderated by the tasks’ complexity and knowledge intensity, as well as the IA's ability to complete the task. This theorizing helps to better understand the role of IAs in future team-based working processes. Developers of IAs can use TIMS as a tool for requirements formulation to prepare their software agents for collaboration in hybrid teams.

Interrupting Generative AI in LIS: Using Analog, Project-Based, In-Class, Team Work to Validate Core Research Competency Learning

Interrupting Generative AI in LIS: Using Analog, Project-Based, In-Class, Team Work to Validate Core Research Competency Learning

Primary Care Informatics: Vitalizing the Bedrock of Health Care.

Primary care informatics (PCI) professionals address workflow and technology solutions in a wide spectrum of health, ranging from optimizing the experience of the individual patient in the clinic room to supporting the health of populations and augmenting the work of frontline primary care clinical teams. PCI overlaps uniquely with 2 disciplines with an impact on societal health-primary care and health informatics. Primary care is a gateway to health care access and aims to synthesize and coordinate numerous, complex elements of patients' health and medical care in a holistic manner. However, over the past 25 years, primary care has become a specialty in crisis: in a post-COVID-19 world, workforce shortages, clinician burnout, and continuing challenges in health care access all contribute to difficulties in sustaining primary care. Informatics professionals are poised to change this trajectory. In this viewpoint, we aim to inform readers of the discipline of PCI and its importance in the design, support, and maintenance of essential primary care services. Although this work focuses on primary care in the United States, which includes general internal medicine, family medicine, and pediatrics (and depending on definition, includes specialties such as obstetrics and gynecology), many of the principles outlined can also be applied to comparable health care services and settings in other countries. We highlight (1) common global challenges in primary care, (2) recent trends in the evolution of PCI (personalized medicine, population health, social drivers of health, and team-based care), and (3) opportunities to move forward PCI with current and emerging technologies using the 4Cs of primary care framework. In summary, PCI offers important contributions to health care and the informatics field, and there are many opportunities for informatics professionals to enhance the primary care experience for patients, families, and their care teams.